Individual provider Active NPI

Laurence Milton Petty, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Plant City, FL
National Provider Identifier
1265655757
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME0068819 Issued in FL
Practice address
8508 Alafia Hills Dr
Plant City, FL 33567-3408
Phone
(813) 650-8600
Fax
(813) 650-8664
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0068819 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME0068819 FL Primary

Addresses

Primary practice location

8508 Alafia Hills Dr
Plant City, FL 33567-3408

Mailing address

8508 Alafia Hills Dr
Plant City, FL 33567-3408
Phone (813) 650-8600

Other practice location 1

6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (855) 232-0644

Other identifiers 1

IdentifierTypeStateIssuer
255973100MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000631 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 7012818644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sarasota Healthcare 168 LLCGroup PAC ID 1658700240, 3 clinicians

Practice addresses (Care Compare)

2888 Ringling Blvd
Unit CD
Sarasota, FL 34237-5331
Phone (941) 413-5100

8508 Alafia Hills Dr
Plant City, FL 33567-3408
Phone (813) 650-8600

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Riverview, FL, CCN 687113
  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
  • Empower Home Care Home health agency, Sun City Center, FL, CCN 687110
  • Whispering Oaks Nursing home, Tampa, FL, CCN 105299
  • Royal Care of Avon Park Nursing home, Avon Park, FL, CCN 105812
  • Kensington Gardens Rehab and Nursing Center Nursing home, Clearwater, FL, CCN 105453
  • Ybor City Center for Rehabilitation and Healing Nursing home, Tampa, FL, CCN 105891
  • Elon Manor Nursing and Rehabilitation Center Nursing home, Tampa, FL, CCN 105725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0068819FLMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Healthcare 168 LLC CurrentSince Nov 1, 2025 Accepting new patients
First Knight Medical Inc Geriatric Medicine CurrentSince May 1, 2002 Accepting new patients
Pathway PT LLC PastSince Jul 1, 2023 Accepting new patients
Ace Endeavors LLC Past Accepting new patients

Locations

2888 Ringling Blvd
Unit Cd
Sarasota, FL 34237
Phone (786) 270-6853

1203 E 22nd Ave
Tampa, FL 33605
Phone (813) 229-6901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21758/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tampa Tha Opco LLCTampa, FL, CCN 105725 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF
Oct 1, 2023
Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1265655757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 ALAFIA HILLS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673408",
            "telephone_number": "813-650-8600",
            "fax_number": "813-650-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 ALAFIA HILLS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673408",
            "telephone_number": "813-650-8600",
            "fax_number": "813-650-8664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6804 Cecelia Drive",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346534935",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTY",
        "first_name": "LAURENCE",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0068819",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME0068819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255973100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.