1. Home
  2. Directory
  3. Florida
  4. Mount Dora
  5. Nurse Practitioner
  6. NPI Profile

MYCOSE LAURENT
NPI 1124953096
Nurse Practitioner - Psychiatric/Mental Health in Mount Dora, FL

Active since June 15, 2026
4979 GOLDEN ZENITH WAY, MOUNT DORA, FL 32757(954) 479-0814 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mycose Laurent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYCOSE LAURENT (NPI 1124953096) is an individual psychiatric/mental health provider in Mount Dora, Florida, licensed in Florida (APRN11048272) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1124953096
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMYCOSE LAURENT
Location Address4979 GOLDEN ZENITH WAYMount Dora, FL 32757-7723
Mailing Address4979 Golden Zenith WayMount Dora, FL 32757-7723 · (954) 479-0814
Phone(954) 479-0814
Sole ProprietorYes
Enumeration DateJune 15, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1124953096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11048272
4979 GOLDEN ZENITH WAY, Mount Dora, FL 32757
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mycose Laurent's NPI number?

The NPI number for Mycose Laurent is 1124953096. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Mycose Laurent located?

Mycose Laurent practices at 4979 Golden Zenith Way, Mount Dora, FL 32757. The listed phone number is (954) 479-0814.

What is Mycose Laurent's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mycose Laurent was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.