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
Fax: (954) 731-8408
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225070584 NPPES
Florida MEDICAID 270655500
Florida Other KP510

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