Provider Demographics
NPI:1124583521
Name:SGARLATO, LAUREN (NP-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SGARLATO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6817 OSAGE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3484
Mailing Address - Country:US
Mailing Address - Phone:561-350-9697
Mailing Address - Fax:
Practice Address - Street 1:6817 OSAGE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BCH
Practice Address - State:FL
Practice Address - Zip Code:33413-3484
Practice Address - Country:US
Practice Address - Phone:561-350-9697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-10
Last Update Date:2019-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF1191498163WC0200X
FLF01191498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine