Individual
CIRCE LAURA LAUCERICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-6102
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-6102
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
ARNP9278926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014679100
—
FL
01
—
ARNP9278926
LICENSE
FL
Enumeration date
03/05/2015
Last updated
05/20/2015
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