Individual provider Active NPI

Laura Jean McGovern, D.O.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1093010126
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS20648 Issued in FL
Practice address
9309 N Florida Ave Ste 111
Tampa, FL 33612-7237
Phone
(813) 444-9823
Fax
(813) 709-7254
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS20648 FL Primary

Addresses

Primary practice location

9309 N Florida Ave Ste 111
Tampa, FL 33612-7237

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (786) 758-3165

Other names 1

  • Laura Jean Kucinski Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130307000169 IL Practitioner - Internal Medicine 3375798846 Reassigns benefits to 2 organizations
I20240228004640 FL Practitioner - Internal Medicine 3375798846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University College of Dental Medicine, Downers Grove, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

1812 US Hwy 19
Holiday, FL 34691-5535
Phone (727) 942-3355

9309 N Florida Ave
Suite 111
Tampa, FL 33612-7237
Phone (813) 444-9823

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC Current Accepting new patients
Florida Medical Specialists LLC CurrentSince Feb 26, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Morris Hospital CurrentSince Jun 1, 2014 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital Current Accepting new patients
Claremedica Viking LLC CurrentSince Dec 13, 2025 Accepting new patients
Florida Medical Specialists LLC CurrentSince Feb 26, 2024 Accepting new patients
Florida Medical Specialists LLC Internal Medicine Past Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

1812 US Highway 19
Holiday, FL 34691
Phone (727) 942-3355

1000 NW 57th Ct
Ste 400
Miami, FL 33126

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

9309 N Florida Ave
Ste 111
Tampa, FL 33612
Phone (813) 444-9823

460 N Broadway St
Coal City, IL 60416
Phone (815) 634-2592

150 W High St
Morris, IL 60450
Phone (815) 942-2129

114 W Waverly St
Morris, IL 60450
Phone (815) 634-8030

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1093010126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "786-758-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 N FLORIDA AVE STE 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127237",
            "telephone_number": "813-444-9823",
            "fax_number": "813-709-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KUCINSKI",
            "middle_name": "JEAN",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.