Lauren Anne Eggnatz, APRN
Individual provider Active NPI Family Medicine Physician · Orange City, FL
NPI 1497360481 · NPPES record last updated Sep 15, 2020
Key facts
- NPI
- 1497360481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11009145 (FL)
- Practice address
- 1725 Monastery Rd
Orange City, FL 32763-6313 - Phone
- (386) 341-6216
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009145 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Medical Clinic LLC | Current |
Accepting new patients |
Locations
70 Fox Ridge Ct
Ste A
Debary, FL 32713
Phone (386) 668-4411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11009145 | FL | Yes |
Addresses
Primary practice location
1725 Monastery Rd
Orange City, FL 32763-6313
Mailing address
1725 Monastery Rd
Orange City, FL 32763-6313
Phone (386) 341-6216
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lauren.eggnatz@halifax.org |
Other providers in Orange City, FL
- E&N Loving and Reliable Transportation Services LLC
- Michaelene A Eakin
- Erin Elizabeth Ebert
- Lisa M Eddy
- Edmundo I Rivera MD PA
- Vahidha Eghbal
- Ahmed Elbanna
- Donna L Elbin
- Elder Health Care of Volusia, P.a.
- Nazih Elgallab
All providers in Orange City, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.