MEDICARE: MS. LAURA ANN GULICK 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	APRN9337291	FL

General Provider Information

NPI Number	:	1831639657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ANN GULICK APRN

Provider Business Mailing Address
First Line	:	PO BOX 23329
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6331 MEMORIAL HWY STE D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4537
Country	:	US
Telephone Number	:	813-882-9986
Fax Number	:	813-882-9849

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

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	04/08/2026

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