Individual provider Active NPI

Laura Miranda Prins, DO

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1699234526
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18283 Issued in FL
Practice address
13220 Starkey Rd Ste 500
Largo, FL 33773-1446
Phone
(727) 398-7701
Fax
(727) 287-4541
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS18283 FL Primary

Addresses

Primary practice location

13220 Starkey Rd Ste 500
Largo, FL 33773-1446

Mailing address

13220 Starkey Rd Ste 500
Largo, FL 33773-1446
Phone (727) 398-7701

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
I20220630000149 FL Practitioner - Family Practice 0840670345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

13220 Starkey Rd
Suite 500
Largo, FL 33773-1446
Phone (727) 398-7701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18283FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Aug 15, 2022 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

13220 Starkey Rd
Ste 500
Largo, FL 33773
Phone (727) 398-7701

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: laura.prins@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1699234526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 STARKEY RD STE 500",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731446",
            "telephone_number": "727-398-7701",
            "fax_number": "727-287-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 STARKEY RD STE 500",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731446",
            "telephone_number": "727-398-7701",
            "fax_number": "727-287-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINS",
        "first_name": "LAURA",
        "middle_name": "MIRANDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.