MEDICARE: THERESA MARIE LAURENTE FNP

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	363LF0000X	Family Nurse Practitioner	NP95004603	CA
2	363L00000X	Nurse Practitioner	9264424	FL

General Provider Information

NPI Number	:	1932653920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA MARIE LAURENTE FNP

Provider Business Mailing Address
First Line	:	4710 N HABANA AVE STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7151
Country	:	US
Telephone Number	:	813-873-1016
Fax Number	:	813-874-2813

Provider Business Practice Location Address
First Line	:	4710 N HABANA AVE STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7151
Country	:	US
Telephone Number	:	813-873-1016
Fax Number	:	813-874-2813

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

Provider Enumeration Date	:	08/08/2016
Last Update Date	:	06/16/2018

Similar Medicare Providers

1780491712 — SOL MEDICAL CENTER LLC
Practice Location Address:

4710 N HABANA AVE STE 304
TAMPA, FL
33614-7151

Practice Phone: 813-930-5011
Practice Fax: 813-930-5007

1821269051 — OTTO OSTOLAZA-GARCIA M.D.
Practice Location Address:

4710 N HABANA AVE , SUITE 300
TAMPA, FL
33614-7151

Practice Phone: 813-873-1016
Practice Fax: 813-874-2813

1154671022 — ARTHUR J. PEDREGAL MD PA
Practice Location Address:

4710 N HABANA AVE STE 303
TAMPA, FL
33614-7151

Practice Phone: 813-879-7940
Practice Fax: 813-878-0670

1164766002 — JOSE R. FORADADA, III, MD, P.A.
Practice Location Address:

4710 N. HABANA AVE. , SUITE 307
TAMPA, FL
33614-7151

Practice Phone: 813-874-2000
Practice Fax:

1043672827 — BROOKE ALECIA RUPERT ARNP
Practice Location Address:

4710 N. HABANA AVENUE , SUITE #307
TAMPA, FL
33614-7151

Practice Phone: 813-874-2000
Practice Fax: 813-875-9303

1871008508 — KIDNEY DOCTOR, CORP.
Practice Location Address:

4710 N HABANA AVE STE 300
TAMPA, FL
33614-7151

Practice Phone: 813-873-1016
Practice Fax: 813-874-2813

Directions to “ THERESA MARIE LAURENTE FNP” 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.