MEDICARE: LAURINE SANDY SEVERINE DICOSIMO PCD(DONA)

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	374J00000X	Doula	1511830	FL

General Provider Information

NPI Number	:	1275492597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURINE SANDY SEVERINE DICOSIMO PCD(DONA)

Provider Business Mailing Address
First Line	:	1980 VALENCIA WAY
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33764-6628
Country	:	US
Telephone Number	:	628-688-5652
Fax Number	:

Provider Business Practice Location Address
First Line	:	1980 VALENCIA WAY
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33764-6628
Country	:	US
Telephone Number	:	628-688-5652
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ LAURINE SANDY SEVERINE DICOSIMO PCD(DONA)” Practice Location

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