Individual provider Active NPI

Esau Laurencin, MD

  • General Practice Physician
  • Longwood, FL
National Provider Identifier
1588075774
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN680 Issued in FL
Practice address
485 S Ronald Reagan Blvd
Longwood, FL 32750-5408
Phone
(904) 861-1222
Fax
(904) 861-2688
NPI assigned
May 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18665 PR
General Practice Physician 208D00000X ACN680 FL Primary

Addresses

Primary practice location

485 S Ronald Reagan Blvd
Longwood, FL 32750-5408

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
016447300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esau.laurencin.2@29601.direct.athenahealth.com Direct

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
I20160617002002 FL Practitioner - General Practice 4183845613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care FL Inc.Group PAC ID 9830184738, 100 clinicians

Practice addresses (Care Compare)

485 S Ronald Reagan Blvd
Longwood, FL 32750-5408
Phone (407) 834-4849

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN680FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. General Practice Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice Current Accepting new patients
Centerwell Senior Primary Care FL Inc General Practice Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice CurrentSince Aug 5, 2024 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. General Practice CurrentSince Aug 5, 2024 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Current Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Nov 6, 2017 Accepting new patients
Centerwell Senior Primary Care FL Inc General Practice Current Accepting new patients
Omega Health and Nutrition LLC PastSince Sep 9, 2020 Accepting new patients

Locations

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

1049 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 884-2952

946 State Road 436
Casselberry, FL 32707
Phone (407) 831-3141

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

5238-16 Norwood Ave
Jacksonville, FL 32208
Phone (904) 467-7512

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

2577 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-8338

485 S Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 834-4849

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

207 W Gore St
Ste 200
Orlando, FL 32806
Phone (407) 409-8118

11242 E Colonial Dr
Orlando, FL 32817
Phone (402) 273-7373

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: esau.laurencin.2@29601.direct.athenahealth.com

Organizations & group practices 9

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 4

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": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1588075774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S RONALD REAGAN BLVD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505408",
            "telephone_number": "904-861-1222",
            "fax_number": "904-861-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENCIN",
        "first_name": "ESAU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-11",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18665",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016447300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esau.laurencin.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "485 S Ronald Reagan Blvd",
            "city": "Longwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327505408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.