IndividualActive
Jacqueline Larson, MD
NPI 1386996759 · Pediatric Gastroenterology Physician · Tampa, FL
Provider details
- NPI number
- 1386996759
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME124534 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2 Tampa General Cir
Tampa, FL 33606-3571
Phone: (813) 821-8038
Fax: (813) 974-0483
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 917770
Orlando, FL 32891-0001
Additional practice locations (1)
- 1131 N 35th Ave Ste 300Hollywood, FL 33021-5403Phone: (954) 276-1514Fax: (954) 276-0754
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.