License Verification

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KELLY LYNN LARREA

License Number: PA2679

Data As Of 11/23/2024

Profession
Physician Assistant
License
PA2679
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/05/1993
Address of Record
160 Lake Howard Dr SW
WINTER HAVEN, FL 33881
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details

No secondary locations found.


Name Relationship Profession License Effective Date
BRADFIELD, JOSEPH JOHN Supervising Prescribing Practitioner Medical Doctor 66438 07/24/2018
BROOKER, CHARLES RONALD MD Supervising Prescribing Practitioner Medical Doctor 75946 07/24/2018
LYLE, GEORGE DEWEY DR Supervising Prescribing Practitioner Medical Doctor 64521 07/24/2018
MERRITT, ROBERT MARTIN MD Supervising Prescribing Practitioner Medical Doctor 81383 07/24/2018
STUART, MENACHEM MENDEL Supervising Prescribing Practitioner Medical Doctor 112526 07/24/2018

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.