De La Paz, Yira Larissa
De La Paz, Yira Larissa is an individual health care provider with primary practice located at 4850 W Oakland Park Blvd Ste 148 , Lauderdale Lakes FL 33313-7277. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. De La Paz, Yira Larissa can be contacted via phone (954) 735-1200.Contact Information
Primary practice address
4850 W Oakland Park Blvd Ste 148
Lauderdale Lakes FL 33313-7277
Phone: (954) 735-1200
Fax: (954) 731-8408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME89466 | Florida |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME89466 | Florida |
Profile Details
NPI number | 1225070584 |
---|---|
LBN Legal business name | De La Paz, Yira Larissa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Sep 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225070584 | NPPES |
Florida | MEDICAID | 270655500 | |
Florida | Other | KP510 |
Popular Providers
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