Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LARREA
Active Sole ProprietorKELLY LARREA is a Physician Assistant healthcare provider located in WINTER HAVEN, Florida. NPI 1205351020 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WINTER HAVEN, FL
Registration Details
- NPI Number
- 1205351020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2017 (9.0027596837542 yrs)
- Last Updated
- Sep 12, 2025
- License
-
PA2679 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
160 E LAKE HOWARD DRWINTER HAVEN, FL, 338813155Browse FL providers · Browse ZIP 33881
- Phone
- 8632991251
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WINTER HAVEN, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. KECIA S POWELL | PA | 1124070990 |
| SHERYL ANN BACHELDOR | PA | 1134174196 |
| ELIZABETH A DRISSEL | PA-C | 1558385104 |
| MARIO TEODORO RANKIN | PAC | 1093806515 |
| MRS. TERESITA REPIEDAD WEINBERG | P.A.-C | 1386736452 |
| HEATHER BONIFAY NELSON | PA-C | 1013001775 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.