Healthcare Provider Details

I. General information

NPI: 1144140286
Provider Name (Legal Business Name): DR. BRITTANY ALLISON LARSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST STE 1451A
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1149 INDEPENDENCE TRL APT E
HOMESTEAD FL
33034-2651
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-9558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1094648
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: