Individual provider Active NPI

Carmen Mouzourakis, APRN

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1265167217
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020520 Issued in FL
Practice address
8905 Bryan Dairy Rd
Largo, FL 33777-1102
Phone
(727) 393-7542
Fax
(727) 319-6090
NPI assigned
Jul 22, 2022
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020520 FL Primary

Addresses

Primary practice location

8905 Bryan Dairy Rd
Largo, FL 33777-1102

Mailing address

8905 Bryan Dairy Rd
Largo, FL 33777-1102
Phone (727) 393-7542

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
I20250206001734 FL Practitioner - Nurse Practitioner 2163952110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians

Practice addresses (Care Compare)

7101 US Hwy 19 N
Pinellas Park, FL 33781-4607
Phone (727) 201-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Ageless Center LLC CurrentSince Jan 1, 2025 Accepting new patients
Unique Healthcare Systems LLC CurrentSince Jun 14, 2025 Accepting new patients
Unique Management Group PastSince Jun 14, 2025 Accepting new patients

Locations

2506 US Highway 19
Holiday, FL 34691
Phone (727) 201-8585

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

11241 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 273-1300

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1265167217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771102",
            "telephone_number": "727-393-7542",
            "fax_number": "727-319-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771102",
            "telephone_number": "727-393-7542",
            "fax_number": "727-319-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZOURAKIS",
        "first_name": "CARMEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.