Individual provider Active NPI

Larissa Lima Tavares, MD

  • General Practice Physician
  • Deerfield Beach, FL
National Provider Identifier
1245970474
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME181571 Issued in FL
Practice address
2001 W Sample Rd Ste 100
Deerfield Beach, FL 33064-1346
Phone
(201) 206-7732
NPI assigned
Mar 29, 2022
Last updated
Oct 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME181571 FL Primary

Addresses

Primary practice location

2001 W Sample Rd Ste 100
Deerfield Beach, FL 33064-1346

Mailing address

310 Lexington Ave Apt 8C
New York, NY 10016-3138
Phone (201) 206-7732

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1245970474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LEXINGTON AVE APT 8C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163138",
            "telephone_number": "201-206-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE RD STE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641346",
            "telephone_number": "201-206-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "LARISSA",
        "middle_name": "LIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME181571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FLORIDA",
            "affiliation": "N",
            "address_1": "703 N Flamingo Rd Fl 2",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330281006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.