LARISA COYE KELLEY (NPI# 1407924558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407924558 |
Entity Type | Individual |
Full Name | LARISA COYE KELLEY |
Credential | M.D. |
Practice Address |
4477 Medical Center Way Suite A West Palm Beach FL 33407-3286 |
Practice Telephone | 5614711808 |
Mailing Telephone | 5614711808 |
Enumeration Date | 2006-11-30 |
Last Update Date | 2011-06-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME98953 | FL | Allopathic & Osteopathic Physicians |
Street Address |
4477 MEDICAL CENTER WAY SUITE A |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33407-3286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700864402 | John Patrick Kinney | Dermatology | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3286 | 2006-01-04 |
1407010507 | Adriana Farias | Nurse's Aide | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3286 | 2008-07-17 |
1467676056 | Natalie Margaret Li | Specialist | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3257 | 2007-04-13 |
1508904673 | Michelle Ellaine Maddox | Specialist | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3257 | 2007-02-02 |
1285780288 | Tracy Lynn Simons | Nurse's Aide | 4477 Medical Center Way, West Palm Beach, FL 33407-3257 | 2007-01-25 |
1972570323 | Michael Anthony Nowak | Pathology | 4477 Medical Center Way, Suite B, West Palm Beach, FL 33407-3286 | 2006-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
Find all providers in zip 33407 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942297163 | Kerry Marie Wong Fike | Dermatology | 1500 N Dixie Hwy Ste 305, West Palm Beach, FL 33401-2717 | 2005-10-03 |
1811020142 | James W Franks D.o.,p.a. | Dermatology | 9121 N Military Trl, Suite 102, West Palm Beach, FL 33410-5984 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
Find all providers with the same taxonomy |
City | WEST PALM BEACH |
Zip Code | 33407 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.