Active NPI
Skylake Medical Associates PLLC
- Nurse Practitioner
- N. Miami Beach, FL
National Provider Identifier
1073381802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SKYLAKE MEDICAL ASSOCIATES PLLC
- Practice address
- 1380 NE Miami Gardens Dr
Ste. 280
N. Miami Beach, FL 33179-4758 - Phone
- (818) 267-4606
- Fax
- (305) 749-6505
- NPI assigned
- Dec 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Larisa Turetsky, ARNP
- Title
- Nurse Practitioner
- Phone
- (305) 735-2022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Podiatrist | 213E00000X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
1380 NE Miami Gardens Dr
Ste. 280
N. Miami Beach, FL 33179-4758
Mailing address
1380 NE Miami Gardens Dr
Ste. 280
N. Miami Beach, FL 33179-4758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010594700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- North Miami Beach, FL
- NPI 1639333156
Nurse Practitioner
-
- Foot & Ankle Surgery Podiatrist
- Hallandale Beach, FL
- NPI 1215322623
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1619580222
-
- Family Nurse Practitioner
- Saint Cloud, FL
- NPI 1437990215
-
- Primary Podiatric Medicine Podiatrist
- N. Miami Beach, FL
- NPI 1588753040
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1285032086
-
- Adult Health Nurse Practitioner
- Tequesta, FL
- NPI 1124383658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1073381802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 NE MIAMI GARDENS DR",
"address_2": "STE. 280",
"city": "N. MIAMI BEACH",
"state": "FL",
"postal_code": "331794758",
"fax_number": "305-749-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 NE MIAMI GARDENS DR",
"address_2": "STE. 280",
"city": "N. MIAMI BEACH",
"state": "FL",
"postal_code": "331794758",
"telephone_number": "818-267-4606",
"fax_number": "305-749-6505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLAKE MEDICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-12",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "TURETSKY",
"authorized_official_first_name": "LARISA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "305-735-2022",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010594700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in N. Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.