BYRON STEPHEN LEGUISAMO APRN NPI 1265251763

NPI Information

  • NPI: 1265251763
  • Provider Name: BYRON STEPHEN LEGUISAMO, APRN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 525 TECHNOLOGY PARK STE 109
    LAKE MARY, FL
    ZIP 32746
  • Phone: (470) 283-3869

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NPI Details

Byron Stephen Leguisamo, APRN is an acute care nurse practitioner in Lake Mary, FL with 1 years of experience. Byron Stephen Leguisamo, APRN NPI is 1265251763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

525 TECHNOLOGY PARK STE 109
LAKE MARY, FL
ZIP 32746-107
Phone: (470) 283-3869

The NPI 1265251763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2024 and was last updated on 10/11/2024.

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
1363LA2100XNurse PractitionerAcute Care11035839FLORIDAYes

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: 3/30/2025

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