Healthcare Provider Details

I. General information

NPI: 1619843208
Provider Name (Legal Business Name): LASHAUNDA OKAFOR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 CYPRESS VILLAGE BLVD STE B
RUSKIN FL
33573-6831
US

IV. Provider business mailing address

926 CYPRESS VILLAGE BLVD STE B
RUSKIN FL
33573-6831
US

V. Phone/Fax

Practice location:
  • Phone: 239-690-6906
  • Fax:
Mailing address:
  • Phone: 239-690-6906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11043977
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: