Individual provider Active NPI

Laureano Andrade Vicenty, MD

  • Emergency Medicine Physician
  • Clermont, FL
National Provider Identifier
1902485238
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME160753 Issued in FL
Practice address
4405 S US Highway 27
Clermont, FL 34711-5384
Phone
(352) 720-7999
NPI assigned
Apr 5, 2021
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 59368 KY
Emergency Medicine Physician 207P00000X ME160753 FL Primary
Emergency Medicine Physician 207P00000X 036167033 IL

Addresses

Primary practice location

4405 S US Highway 27
Clermont, FL 34711-5384

Mailing address

PO Box 100186
Gainesville, FL 32610-0186
Phone (352) 265-5911

Other practice location 1

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5467

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3530
Phone (352) 265-5911

Other practice location 3

17021 US Highway 441
Mount Dora, FL 32757-6734
Phone (352) 720-7999

Other practice location 4

3800 Meggison Rd
The Villages, FL 32163-3028
Phone (352) 643-7555

Other practice location 5

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000

Other practice location 6

45 W 111th St
Chicago, IL 60628-4200
Phone (773) 995-3000

Other practice location 7

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-2000 ext. 6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, KY, TN, NC, AL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20240419001967 IL Practitioner - Emergency Medicine 6608240452 Reassigns benefits to 1 organization
I20240823003806 FL Practitioner - Emergency Medicine 6608240452 Reassigns benefits to 3 organizations
I20241126002188 KY Practitioner - Emergency Medicine 6608240452 Reassigns benefits to 3 organizations
I20250421000393 TN Practitioner - Emergency Medicine 6608240452 Reassigns benefits to 3 organizations
I20251109000102 NC Practitioner - Emergency Medicine 6608240452 Reassigns benefits to 1 organization
I20251117001107 AL Practitioner - Emergency Medicine 6608240452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Emergency Medicine Services of Ky LLCGroup PAC ID 9335505569, 42 clinicians
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000

1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211

355 New Shackle Island Rd
Hendersonville Medical Center
Hendersonville, TN 37075-2479
Phone (615) 338-1000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 338-3301

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160753FLMDEmergency Medicine Physician
036167033ILMDEmergency Medicine Physician
59368KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Ky, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
New Rose Healthcare Management LLC Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Leesburg Regional Medical Center Physician Services LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 18, 2025 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Nov 10, 2024 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 10, 2024 Accepting new patients

Locations (25 of 26)

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

3800 Meggison Rd
The Villages, FL 32163
Phone (352) 570-6100

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Interoperability endpoints

  • Direct secure messaging: landrade@yourcarecommunity.org
  • Direct secure messaging: landradevicenty706271@direct.shands.ufl.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1902485238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100186",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 S US HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115384",
            "telephone_number": "352-720-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-5467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103530",
            "country_code": "US",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-8018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17021 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576734",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Meggison Rd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321633028",
            "country_code": "US",
            "telephone_number": "352-643-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321590041",
            "country_code": "US",
            "telephone_number": "352-751-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 W 111th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606284200",
            "country_code": "US",
            "telephone_number": "773-995-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 Bird Rd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-2000 x6720",
            "fax_number": "305-227-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE VICENTY",
        "first_name": "LAUREANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "59368",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME160753",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036167033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.