Individual provider Active NPI

Maglensa Larose

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1780306175
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116381 Issued in FL
Practice address
285 NW 48TH St
Miami, FL 33127-2456
Phone
(786) 781-8627
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116381 FL Primary

Addresses

Primary practice location

285 NW 48TH St
Miami, FL 33127-2456

Mailing address

285 NW 48TH St
Miami, FL 33127-2456

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930002145 FL Practitioner - Physician Assistant 9537545306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CQC Healthcare PAGroup PAC ID 7113291642, 4 clinicians
Quick Family Urgentcare, LLCGroup PAC ID 2062550700, 6 clinicians

Practice addresses (Care Compare)

3816 Hollywood Blvd
Suite 205
Hollywood, FL 33021-6750
Phone (786) 207-4788

4301 S Flamingo Rd
Davie, FL 33330-1902
Phone (954) 640-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116381FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CQC Healthcare PA CurrentSince Dec 1, 2025 Accepting new patients

Locations

3816 Hollywood Blvd
Ste 205
Hollywood, FL 33021
Phone (786) 207-4788

100 E Sample Rd
Ste 300
Pompano Beach, FL 33064
Phone (786) 207-4788

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1780306175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331272456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331272456",
            "telephone_number": "786-781-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "MAGLENSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.