Luciana D Lavilaire, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9120739 Issued in FL

Practice address

100 W Gore St Ste 403
Orlando, FL 32806-1049

Phone

(321) 841-3050

Fax

(321) 843-3570

NPI assigned

Sep 2, 2021

Reactivated

Oct 2, 2025

Last updated

Mar 26, 2026By 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 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment Care Compare group NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1629746730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 403",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061049",
            "telephone_number": "321-841-3050",
            "fax_number": "321-843-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 403",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061049",
            "telephone_number": "321-841-3050",
            "fax_number": "321-843-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S Orange Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "321-841-5683",
            "fax_number": "407-649-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Gore St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061014",
            "country_code": "US",
            "telephone_number": "321-841-3050",
            "fax_number": "321-843-3570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 NW 16th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251624",
            "country_code": "US",
            "telephone_number": "305-575-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "392 Rinehart Rd Ste 3090",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462576",
            "country_code": "US",
            "telephone_number": "321-841-3050",
            "fax_number": "321-843-3570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Metrowest Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353290",
            "country_code": "US",
            "telephone_number": "321-841-3050",
            "fax_number": "321-843-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVILAIRE",
        "first_name": "LUCIANA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "deactivation_date": "2022-05-28",
        "reactivation_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120739",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9120739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lara Laverty, ARNP
• Cassandra Laveus, CRNA
• Amanda Nicole Lavezzari Torres, DC
• Francesca Marie Lavezzoli-Nelson, LAT, ATC
• Alexander Lavigne, DO
• Lisa A Lavoie, PA-C, OTR/L
• Robert K Law, D.O.
• Lawall P & O of Florida, Inc.
• Lawall P & O of Florida, Inc.
• Susan Marie Lawler, APRN

• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.