MYCOSE LAURENT NPI 1124953096

NPI Information

  • NPI: 1124953096
  • Provider Name: MYCOSE LAURENT
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4979 GOLDEN ZENITH WAY
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (954) 479-0814

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NPI Details

Mycose Laurent is a psychiatric/mental health nurse practitioner in Mount Dora, FL. Mycose Laurent NPI is 1124953096. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4979 GOLDEN ZENITH WAY
MOUNT DORA, FL
ZIP 32757-723
Phone: (954) 479-0814

The enumeration date for this NPI number is 6/15/2026 and was last updated on 6/15/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11048272FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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