Healthcare Provider Details

I. General information

NPI: 1558279364
Provider Name (Legal Business Name): MICHAEL LAPORTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6075 BATHEY LN
NAPLES FL
34116-7536
US

IV. Provider business mailing address

5405 COVE CIR
NAPLES FL
34119-9529
US

V. Phone/Fax

Practice location:
  • Phone: 239-455-8500
  • Fax:
Mailing address:
  • Phone: 518-376-8917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11049849
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: