DR. ESAU LAURENCIN (NPI# 1588075774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588075774 |
Entity Type | Individual |
Full Name | DR. ESAU LAURENCIN |
Credential | MD |
Practice Address |
5238-16 Norwood Ave Jacksonville FL 32208-5005 |
Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
Practice Telephone | 9048611222 |
Practice Fax Number | 9048612688 |
Mailing Telephone | 3055002000 |
Enumeration Date | 2014-05-11 |
Last Update Date | 2020-09-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ACN680 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 18665 | PR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 016447300 | 05 |
Street Address |
5238-16 NORWOOD AVE |
City | JACKSONVILLE |
State | FL |
Zip Code | 32208-5005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548227226 | Michael J Fialho | Internal Medicine | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2006-04-27 |
1770056681 | Mcci Group Holdings LLC | Internal Medicine | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2019-01-03 |
1912380379 | Joselyn Arcelin | General Practice | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2015-07-02 |
1710274527 | Daniel Stanley Hutto | Nurse Practitioner | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2011-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
Find all providers in zip 32208 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32208 |
Please comment or provide details below to improve the information on DR. ESAU LAURENCIN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.