Individual provider Active NPI

Bertine Jean Laurent, NP

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1881415123
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035690 Issued in FL
Practice address
3030 E Semoran Blvd Ste 264
Apopka, FL 32703-5953
Phone
(321) 280-3810
NPI assigned
Oct 19, 2024
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 359149 NY
Family Nurse Practitioner 363LF0000X 11035690 FL Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X AP70087650 WA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 336328 AZ

Addresses

Primary practice location

3030 E Semoran Blvd Ste 264
Apopka, FL 32703-5953

Mailing address

3030 E Semoran Blvd Ste 264
Apopka, FL 32703-5953
Phone (321) 280-3810

Other practice location 1

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (321) 399-2486

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
I20250606003029 FL Practitioner - Nurse Practitioner 1850801077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Medical Group IncGroup PAC ID 9638354889, 18 clinicians

Practice addresses (Care Compare)

1355 S International Pkwy
Suite 1481
Lake Mary, FL 32746-1694
Phone (407) 559-7011

3030 E Semoran Blvd
Suite 264
Apopka, FL 32703-5953
Phone (321) 280-3810

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336328AZMDNurse Practitioner
359149NYMDNurse Practitioner
AP70087650WAMDNurse Practitioner
11035690FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Medical Group Inc Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Primary Pathway Health PLLC Multi-Specialty CurrentSince Nov 17, 2024 Accepting new patients
Moore Medical Group Inc Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

801 International Pkwy
Ste 500
Lake Mary, FL 32746
Phone (407) 867-1368

1355 S International Pkwy
Lake Mary, FL 32746
Phone (407) 788-1010

1355 S International Pkwy
Ste 1481
Lake Mary, FL 32746
Phone (407) 323-1234

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (615) 478-6748

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1881415123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E SEMORAN BLVD STE 264",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035953",
            "telephone_number": "321-280-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E SEMORAN BLVD STE 264",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035953",
            "telephone_number": "321-280-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "321-399-2486",
            "fax_number": "321-221-5343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN LAURENT",
        "first_name": "BERTINE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "359149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035690",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70087650",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "336328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.