Individual provider · Type 1 NPI
Mycose Laurent
Psychiatric/Mental Health Nurse Practitioner · Mount Dora, FL
NPI number
1124953096
Active
Practice location
4979 Golden Zenith Way
Mount Dora, FL 32757-7723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11048272 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124953096
Mycose Laurent's National Provider Identifier is 1124953096, issued on Jun 15, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Dora, FL. The record was last updated on Jun 15, 2026.