Provider Demographics
NPI:1760743074
Name:SIGURDARDOTTIR, LAUFEY YR (MD)
Entity Type:Individual
Prefix:
First Name:LAUFEY
Middle Name:YR
Last Name:SIGURDARDOTTIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 METROWEST BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3290
Mailing Address - Country:US
Mailing Address - Phone:321-842-6671
Mailing Address - Fax:321-843-6447
Practice Address - Street 1:6450 METROWEST BLVD
Practice Address - Street 2:STE 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3290
Practice Address - Country:US
Practice Address - Phone:321-842-6671
Practice Address - Fax:321-843-6447
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069951L2084N0402X
FLME1130442084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006564000Medicaid