Provider Demographics
NPI:1710473517
Name:ENSLOW, LARHONDA MARIE (APRN)
Entity type:Individual
Prefix:MS
First Name:LARHONDA
Middle Name:MARIE
Last Name:ENSLOW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 491000
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34749-1000
Mailing Address - Country:US
Mailing Address - Phone:352-315-7800
Mailing Address - Fax:352-314-8858
Practice Address - Street 1:201 EAST MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-1904
Practice Address - Country:US
Practice Address - Phone:352-357-1550
Practice Address - Fax:352-357-1103
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9256994363L00000X
FLAPRN9256994363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner