# LARA CORTES APRN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BayouSide Health & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407641756
- **Authorized official:** LARA CORTES APRN (PRACTICE OWNER)
- **Authorized official phone:** (727) 935-1185

## Contact information

- **Practice address:** 520 E TARPON AVE, TARPON SPRINGS, FL 34689-4324
- **Practice address phone:** (727) 935-1185
- **Practice address fax:** (727) 935-1183
- **Mailing address:** 520 E TARPON AVE, TARPON SPRINGS, FL 34689-4324
- **Mailing address phone:** (727) 935-1185
- **Mailing address fax:** (727) 935-1183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 04/09/2025