Active NPI
Learo Etienne
- Driver
- Winter Haven, FL
National Provider Identifier
1043708118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 3404 Avenue X NW
Winter Haven, FL 33881-1053 - Phone
- (863) 412-9775
- Fax
- (863) 582-9918
- NPI assigned
- Apr 24, 2018
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | FL | Primary |
Addresses
Primary practice location
3404 Avenue X NW
Winter Haven, FL 33881-1053
Mailing address
PO Box 2219
Auburndale, FL 33823-6219
Phone (863) 412-9775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Life T&T Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Winter Haven, FL
- NPI 1396235115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1043708118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2219",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338236219",
"telephone_number": "863-412-9775",
"fax_number": "863-582-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 AVENUE X NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338811053",
"telephone_number": "863-412-9775",
"fax_number": "863-582-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIENNE",
"first_name": "LEARO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.