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DR. LARISSA LIMA TAVARES MD
NPI 1245970474
Student in an Organized Health Care Education/Training Program in Pembroke Pines, FL

Active since March 29, 2022PECOS Enrolled
703 N FLAMINGO RD FL 2, PEMBROKE PINES, FL 33028(201) 206-7732 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larissa Lima Tavares Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARISSA LIMA TAVARES MD (NPI 1245970474) is an individual student in an organized health care education/training program in Pembroke Pines, Florida and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245970474
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LARISSA LIMA TAVARESCredential: MD
Location Address703 N FLAMINGO RD FL 2Pembroke Pines, FL 33028-1006
Mailing Address310 Lexington Ave Apt 8cNew York, NY 10016-3138 · (201) 206-7732
Phone(201) 206-7732
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1245970474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
703 N FLAMINGO RD FL 2, Pembroke Pines, FL 33028
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larissa Lima Tavares Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FANGCHENG WU MD
Internal Medicine
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (954) 844-4491
JASMINE D. PRICE DO
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (954) 265-4463
MRS. TAMARA VOOR DAMREL MD
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (954) 325-9375
TIFFANY NIKKI LUSIC DO
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (954) 436-5000
JONATHAN BYRNE
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (773) 971-2001
KARINA OGANEZOVA
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (917) 494-9944
ASMITA GHIMIRE
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD FL 2
PEMBROKE PINES, FL 33028
Broward County (954) 844-4491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Tavares's NPI number?

The NPI number for Larissa Tavares is 1245970474. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Larissa Tavares located?

Larissa Tavares practices at 703 N Flamingo Rd Fl 2, Pembroke Pines, FL 33028. The listed phone number is (201) 206-7732.

What is Larissa Tavares's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Larissa Tavares enrolled in Medicare?

Yes. Larissa Tavares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larissa Tavares was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.