MEDICARE: MICHAEL E LAIRD ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP3052402	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00819183	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669408365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E LAIRD ARNP

Provider Business Mailing Address
First Line	:	14690 SPRING HILL DR
Second Line	:	STE 305
City	:	SPRING HILL
State	:	FL
Zip	:	34609-8102
Country	:	US
Telephone Number	:	352-277-5348
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	3480 DELTONA BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-2917
Country	:	US
Telephone Number	:	352-600-7900
Fax Number	:	352-600-8994

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	11/25/2020

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Directions to “ MICHAEL E LAIRD ARNP” Practice Location

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