Laura Jeanne Denovi, D.O.M, L.A.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4456 Issued in FL

Practice address

116 E Bloomingdale Ave
Brandon, FL 33511-8101

Phone

(813) 655-3342

Fax

(813) 653-0894

NPI assigned

Jan 30, 2008

Reactivated

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Laura Jeanne Potter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sullivan Rehab Inc

  • Physical Therapist
  • Brandon, FL
  • NPI 1881798353
  NPD (past)
• Sun City Center Health and Wellness LLC

  • General Practice Physician
  • Ruskin, FL
  • NPI 1871992545
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1205013364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 STONEBRIDGE TRAIL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "33596",
            "telephone_number": "813-326-7523",
            "fax_number": "813-653-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-655-3342",
            "fax_number": "813-653-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOVI",
        "first_name": "LAURA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "D.O.M, L.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "deactivation_date": "2023-05-15",
        "reactivation_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19090",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "POTTER",
            "middle_name": "JEANNE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Dench, M.A., CCC
• Joseph Andrew Denero, RPH
• Denise Palter LCSW PLLC
• Vincent M Denitto, DMD
• Takiyah Waller Dennies, M.S.
• Dental Assoc of South Brandon
• Dental Associates of Brandon, PLLC
• Dental Associates of Central Brandon
• Dental Associates of Florida (Brandon) PLLC
• Dental Associates of Florida (South Brandon) PLLC

• Acupuncturist in Brandon, FL
• Providers in Brandon, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.