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Individual

DR. LAUREANO ANDRADE VICENTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4405 S US HIGHWAY 27, CLERMONT, FL 34711-5384
(352) 720-7999
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-8018

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036167033
IL
207P00000X
Emergency Medicine Physician
59368
KY
207P00000X
Emergency Medicine Physician
Primary
ME160753
FL

Other

Enumeration date
04/05/2021
Last updated
03/05/2026
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