MEDICARE: KERMIDE LAGUERRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1033965231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERMIDE LAGUERRE

Provider Business Mailing Address
First Line	:	3965 EMILIO LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32226-2148
Country	:	US
Telephone Number	:	754-234-2592
Fax Number	:	999-999-9999

Provider Business Practice Location Address
First Line	:	5460 BLANDING BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-1957
Country	:	US
Telephone Number	:	904-760-4904
Fax Number	:	904-779-5263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	02/20/2026

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Directions to “ KERMIDE LAGUERRE ” Practice Location

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