Active NPI
Laura Gonzalez Licourt, APRN
- Family Nurse Practitioner
- Zephyrhills, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11002952
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11002952 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthflo Medical Clinics Inc | Current | Accepting new patients | |
| Healthflo Medical Clinics Inc | Current | 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.
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Rural Health Clinic/Center
- Ridge Manor, FL
- NPI 1164568275
-
- Rural Health Clinic/Center
- Bushnell, FL
- NPI 1255477360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.