Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAQUAVIAN ELIACIN
Active Sole ProprietorLAQUAVIAN ELIACIN is a Prosthetic/Orthotic Supplier healthcare provider located in PORT ST LUCIE, Florida. NPI 1467068635 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1467068635
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2020 (5.9140046028606 yrs)
- Last Updated
- Sep 22, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1738 SE PORT ST LUCIE BLVDPORT ST LUCIE, FL, 349525467Browse FL providers · Browse ZIP 34952
- Phone
- 7722000870
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.