Laracuente, Fernando Alfredo

Laracuente, Fernando Alfredo is an sole proprietor health care provider with primary practice located at 1250 E Hallandale Beach Blvd Ste 1004 , Hallandale Beach FL 33009-4636. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family is his primary health care specialty. Laracuente, Fernando Alfredo can be contacted via phone (954) 451-1743.

Contact Information

Primary practice address
1250 E Hallandale Beach Blvd Ste 1004 Hallandale Beach FL 33009-4636
Phone: (954) 451-1743
Fax: (954) 838-5336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9361022 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343196 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X APRN9361022 Florida

Profile Details

NPI number 1407378128
LBN Legal business name Laracuente, Fernando Alfredo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2017
Last updated Jun 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407378128 NPPES
Florida MEDICAID 110940700

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