Individual provider Active NPI

Maria Lourdes Laquian, APRN

  • Gerontology Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1003514225
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11024436 Issued in FL
Practice address
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone
(855) 979-5700
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11024436 FL
Gerontology Nurse Practitioner 363LG0600X APRN11024436 FL Primary

Addresses

Primary practice location

2343 Aaron St
Port Charlotte, FL 33952-5305

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

2287 Alling Ter
North Port, FL 34286-3914
Phone (941) 706-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505001515 FL Practitioner - Nurse Practitioner 8426413998 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Hospital Services LLCGroup PAC ID 1254874753, 15 clinicians
Harbor Medical Group LLCGroup PAC ID 5092078881, 9 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Accountable Inpatient MedicineGroup PAC ID 5597090274, 51 clinicians

Practice addresses (Care Compare)

1298 Presque Isle Dr
Port Charlotte, FL 33952-2763

21202 Olean Blvd
Suite C1
Port Charlotte, FL 33952-6725
Phone (941) 889-7440

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

265 E Marion Ave
Unit 117a
Punta Gorda, FL 33950-3715
Phone (954) 534-2593

8130 Lakewood Main St
Suite 103
Lakewood Ranch, FL 34202-5068

8433 Enterprise Circle
Suite 100 317
Lakewood Ranch, FL 34202-4200
Phone (941) 499-2700

Hospital & facility affiliations

  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11024436FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Feb 1, 2024 Accepting new patients
Accountable Inpatient Medicine CurrentSince Sep 19, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Jan 13, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince May 6, 2024 Accepting new patients
Harbor Medical Group LLC CurrentSince Apr 1, 2023 Accepting new patients
Millennium Physician Group LLC CurrentSince May 6, 2024 Accepting new patients
Synergy Hospital Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Feb 1, 2024 Accepting new patients
Continuitycare Rehab Corp PastSince Oct 21, 2025 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

8130 Lakewood Main St
Ste 103
Lakewood Ranch, FL 34202
Phone (918) 289-7085

8433 Enterprise Cir
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 499-2700

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

21202 Olean Blvd
Ste C1
Port Charlotte, FL 33952
Phone (941) 889-7440

2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

21202 Olean Blvd
Ste C6
Pt Charlotte, FL 33952
Phone (941) 889-7440

25097 Olympia Ave
Ste 101
Punta Gorda, FL 33950
Phone (941) 347-3155

265 E Marion Ave
Unit 117A
Punta Gorda, FL 33950
Phone (941) 477-2307

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1003514225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525305",
            "telephone_number": "855-979-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2287 Alling Ter",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342863914",
            "country_code": "US",
            "telephone_number": "941-706-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAQUIAN",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024436",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11024436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.