Healthcare Provider Details

I. General information

NPI: 1417805276
Provider Name (Legal Business Name): MRS. LOUVENCIA SCUTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LOUVENCIA CLERVEAU

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 ROCKLEDGE BLVD
ROCKLEDGE FL
32955-2846
US

IV. Provider business mailing address

6149 BROOKHILL CIR
ORLANDO FL
32810-3954
US

V. Phone/Fax

Practice location:
  • Phone: 321-735-8960
  • Fax:
Mailing address:
  • Phone: 407-335-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11041734
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: