Healthcare Provider Details

I. General information

NPI: 1477417574
Provider Name (Legal Business Name): LAURA LIMA DE ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3149 BOBCAT VILLAGE CENTER RD
NORTH PORT FL
34288-8974
US

IV. Provider business mailing address

1102 SHIPWATCH CIR
TAMPA FL
33602-5773
US

V. Phone/Fax

Practice location:
  • Phone: 941-266-5629
  • Fax:
Mailing address:
  • Phone: 813-356-9131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: