Laiza Souza Tanner

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

500 E Rollins St
Orlando, FL 32803

Phone

(855) 724-5411

NPI assigned

Apr 27, 2020

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1255952636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MANDOLIN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843580",
            "telephone_number": "727-710-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "855-724-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA TANNER",
        "first_name": "LAIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Infectious Disease Specialists LLC
• Southwest Orlando Eye Care LLC
• Southwest Orlando Family Medicine,P.L.
• Ana C Souto, NP
• Vladimir Souverain, CRNA
• Fabio Souza
• Olivia Souza
• Sovereign Healthcare of Metro West, LLC (Metro West Nursing & Rehab Center)
• Sovereign Healthcare of Orlando, LLC (Hunter's Creek Nursing & Rehab Center)
• Lori Sowa, CRNA

• Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.