Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Larrea

Individual provider Physician Assistant · NPI 1205351020

Kelly Larrea is a Physician Assistant in Winter Haven, Florida. Qualified in 1989, 37 years ago. Practices with Florida ENT Associates Inc, a 159-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone: (863) 299-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2679 (FL)

Record details

NPI number1205351020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2017
Last updated in NPPESSeptember 12, 2025
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Florida Ent Associates Inc — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Winter Haven