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General NPI Number Information
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NPI Number | 1447808746
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL LAFOND
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Gender | Male
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-303-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 2073 CHELWOOD CT
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City | JACKSONVILLE
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State | FL
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Zip | 32233-6330
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Country | US
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Telephone | 904-534-4491
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11006510
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License Number State | FL
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