| Dr Esau Laurencin, MD | |
|
485 S Ronald Reagan Blvd, Longwood, FL 32750-5408 | |
| (904) 861-1222 | |
| (904) 861-2688 |
| Full Name | Dr Esau Laurencin |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 20 Years |
| Location | 485 S Ronald Reagan Blvd, Longwood, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588075774 | NPI | - | NPPES |
| 016447300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 18665 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN680 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Centerwell Senior Primary Care Fl Inc. | 9830184738 | 88 |
| Entity Name | Centerwell Senior Primary Care Fl Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487686705 PECOS PAC ID: 9830184738 Enrollment ID: O20040419001657 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Esau Laurencin, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Esau Laurencin, MD 485 S Ronald Reagan Blvd, Longwood, FL 32750-5408 Ph: (904) 861-1222 |
Dr. Nelson Torres, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 595 E Palmetto Ave, Longwood, FL 32750 Phone: 787-432-6800 | |
Vianis C Bravo-vielma, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 485 S Ronald Reagan Blvd, Longwood, FL 32750 Phone: 305-500-2000 | |
Dr. Sivapriya Kumar, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 721 Ciara Creek Cv, Longwood, FL 32750 Phone: 407-887-7565 Fax: 407-987-3694 | |
Dr. Daniel Enrique Urdaneta, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 280 Wekiva Springs Rd Ste 1000, Longwood, FL 32779 Phone: 407-788-2273 Fax: 407-389-2273 | |
Dr. Abdul Hussain Rezahi, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 587 E State Road 434 Unit 3037, Longwood, FL 32750 Phone: 352-935-1136 Fax: 916-265-9764 | |
Dr. Keith B Murray, M.D General Practice Medicare: May Accept Medicare Assignments Practice Location: 2180 W Sr 434, Suite 2110, Longwood, FL 32779 Phone: 407-647-2346 Fax: 407-647-5431 |