Individual provider Active NPI

Laura Gonzalez Licourt, APRN

  • Family Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1831742279
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002952 Issued in FL
Practice address
6836 Medical View LN
Zephyrhills, FL 33542-6615
Phone
(813) 859-5449
Fax
(813) 395-5478
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002952 FL Primary

Addresses

Primary practice location

6836 Medical View LN
Zephyrhills, FL 33542-6615

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (786) 409-9226

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001442 FL Practitioner - Nurse Practitioner 5395172860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

6836 Medical View LN
Zephyrhills, FL 33542-6615
Phone (813) 859-5449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002952FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthflo Medical Clinics Inc Current Accepting new patients
Healthflo Medical Clinics Inc CurrentSince Aug 5, 2024 Accepting new patients

Locations

117 W Belt Ave
Bushnell, FL 33513
Phone (352) 287-1205

117 W Belt Ave
Ste A
Bushnell, FL 33513
Phone (352) 568-1988

34498 Cortez Blvd
Ridge Manor, FL 33523
Phone (352) 583-4520

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1831742279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "786-409-9226",
            "fax_number": "813-279-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 MEDICAL VIEW LN",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426615",
            "telephone_number": "813-859-5449",
            "fax_number": "813-395-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LICOURT",
        "first_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.