Larissa Dub

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME118816 Issued in FL

Practice address

700 W Oak St
Kissimmee, FL 34741-4924

Phone

(248) 898-2001

NPI assigned

Jul 5, 2011

Last updated

Jan 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• CH Affiliates, LLC

  dba Prestige Urgent Care

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1437644325
  NPD
• Sunshine Family Care LLC

  dba American Family care

  • Urgent Care Clinic/Center
  • Atlamonte Springs, FL
  • NPI 1174306542
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1336436989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "248-898-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUB",
        "first_name": "LARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME118816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Drone, MD
• DS Virtual Urgent Care
• Siyi Duan
• Caroline Duarte, LMHC
• Sandra C Duarte
• David Gerard Dube
• Duby Avila M.D. P.a. (Osceola Pain and Rehabilitation Center)
• Guirlene Murat Ductan, RN
• Atabee Dueno
• Tatiana Dufour

• Emergency Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.