Healthcare Provider Details

I. General information

NPI: 1750202313
Provider Name (Legal Business Name): MELISA LLAURADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11400 N KENDALL DR STE 204
MIAMI FL
33176-1029
US

IV. Provider business mailing address

7259 SW 120TH CT
MIAMI FL
33183-3747
US

V. Phone/Fax

Practice location:
  • Phone: 305-979-7668
  • Fax:
Mailing address:
  • Phone: 305-979-7668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11043609
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: