Healthcare Provider Details

I. General information

NPI: 1528850575
Provider Name (Legal Business Name): LETICIA LAURA CURRIN DBA, MBA, CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 BITTLE WAY
SAINT CLOUD FL
34769-6539
US

IV. Provider business mailing address

626 N ALAFAYA TRL STE 206
ORLANDO FL
32828-4353
US

V. Phone/Fax

Practice location:
  • Phone: 516-209-8390
  • Fax:
Mailing address:
  • Phone: 631-933-8127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: