MEDICARE: LAURA E KIDDER APRN

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	363L00000X	Nurse Practitioner	APRN11040862	FL

General Provider Information

NPI Number	:	1619868908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA E KIDDER APRN

Provider Business Mailing Address
First Line	:	6313 OLETA WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-3135
Country	:	US
Telephone Number	:	517-862-3799
Fax Number	:

Provider Business Practice Location Address
First Line	:	9310 OLD KINGS RD S STE 1303
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8100
Country	:	US
Telephone Number	:	904-900-3472
Fax Number	:

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

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	09/30/2025

Similar Medicare Providers

1710968912 — MRS. MERNAMIE CASTARDO TAMAN ARNP/NURSE PRACTITIO
Practice Location Address:

9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL
32257-8100

Practice Phone: 904-900-3472
Practice Fax:

1275790982 — ANABEL C CASTRO MD
Practice Location Address:

9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL
32257-8100

Practice Phone: 904-900-3472
Practice Fax: 904-503-2373

1437622107 — MRS. MICHELLE ESPANOL GARCIA APRN
Practice Location Address:

9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL
32257-8100

Practice Phone: 904-900-3472
Practice Fax: 904-503-2373

1902649395 — WARREN LECK GABRILLO VI NP-C
Practice Location Address:

9310 OLD KINGS RD S STE 1303
JACKSONVILLE, FL
32257-8100

Practice Phone: 904-900-3472
Practice Fax: 900-503-2373

1568467967 — HEALTH CARE MANAGEMENT CONSULTING, INC.
Practice Location Address:

9570 REGENCY SQUARE BLVD
JACKSONVILLE, FL
32225-8100

Practice Phone: 904-725-7100
Practice Fax: 904-725-8875

1831315407 — WELCOME HOMECARE SLEEP DISORDER CLINICS INC
Practice Location Address:

9570 REGENCY SQUARE BLVD
JACKSONVILLE, FL
32225-8100

Practice Phone: 904-421-3970
Practice Fax: 904-421-3908

Directions to “ LAURA E KIDDER APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.