MEDICARE: DR. LAUREANO ANDRADE VICENTY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	59368	KY
2	207P00000X	Emergency Medicine Physician	ME160753	FL
3	207P00000X	Emergency Medicine Physician	036167033	IL

General Provider Information

NPI Number	:	1902485238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREANO ANDRADE VICENTY MD

Provider Business Mailing Address
First Line	:	PO BOX 100186
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0186
Country	:	US
Telephone Number	:	352-265-5911
Fax Number	:	352-265-8018

Provider Business Practice Location Address
First Line	:	4405 S US HIGHWAY 27
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5384
Country	:	US
Telephone Number	:	352-720-7999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	03/05/2026

Similar Medicare Providers

1720682453 — MIRIAM AZUKA ONUGHA
Practice Location Address:

4405 S HIGHWAY 27
CLERMONT, FL
34711-5384

Practice Phone: 352-243-3367
Practice Fax:

1043814403 — MEGAN RODRIGUEZ
Practice Location Address:

4405 S HWY 27
CLERMONT, FL
34711-5384

Practice Phone: 352-243-3367
Practice Fax:

1851618417 — KIM CATHERINE STYRVOKY M.D.
Practice Location Address:

1920 DON WICKHAM DR STE 127
CLERMONT, FL
34711-1978

Practice Phone: 407-648-5384
Practice Fax: 321-843-6975

1033916093 — CYNTHIA SIMON WAKIM PA
Practice Location Address:

1900 DON WICKHAM DR STE 127
CLERMONT, FL
34711-1979

Practice Phone: 407-648-5384
Practice Fax: 321-843-6975

1033064548 — LIZWELL LLC
Practice Location Address:

17011 STATE ROAD 50
CLERMONT, FL
34711-8203

Practice Phone: 352-353-2208
Practice Fax: 352-227-3975

1801650056 — EMILY LINDFORS LMHC
Practice Location Address:

210 N HIGHWAY 27 STE 4
CLERMONT, FL
34711-2411

Practice Phone: 352-708-6283
Practice Fax:

Directions to “ DR. LAUREANO ANDRADE VICENTY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.