Individual
NANCY LAUREANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 27TH ST, VERO BEACH, FL 32960-0303
(772) 257-8224
(772) 252-3245
Mailing address
1555 INDIAN RIVER BLVD, VERO BEACH, FL 32960-5639
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9103378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103378
STATE LICENSE
FL
Enumeration date
08/03/2006
Last updated
02/28/2025
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