LAQUAVIAN ELIACIN
NPI 1467068635
Prosthetic/Orthotic Supplier in Port St Lucie, FL

Q: What is Laquavian Eliacin's NPI number?

The NPI number for Laquavian Eliacin is 1467068635. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Q: What is Laquavian Eliacin's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Laquavian Eliacin was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2020

1738 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 200-0870 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Laquavian Eliacin NPPES

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

LAQUAVIAN ELIACIN (NPI 1467068635) is an individual prosthetic/orthotic supplier provider in Port St Lucie, Florida and active in the NPI registry since September 2020. She maintains a secondary practice location in Port St Lucie.

NPPES Registry Identity

NPI1467068635

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameLAQUAVIAN ELIACIN

Location Address1738 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5467

Mailing Address1738 Se Port St Lucie BlvdPort St Lucie, FL 34952-5467 · (772) 200-0870

Phone(772) 200-0870

Sole ProprietorYes

Enumeration DateSeptember 22, 2020

NPPES CertifiedSeptember 2, 2020

✔ NPI 1467068635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

1738 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

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Secondary Practice Location 1

Location 11738 SE Port St Lucie BlvdPort St Lucie, FL 34952-5467 · Phone (772) 200-0870

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 Laquavian Eliacin's NPI number?

The NPI number for Laquavian Eliacin is 1467068635. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Laquavian Eliacin located?

Laquavian Eliacin practices at 1738 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 200-0870.

What is Laquavian Eliacin's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Laquavian Eliacin was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.