Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr Elisa Laconich, Ph D , PLLC

Organization Clinical Neuropsychologist · NPI 1598341307

Dr Elisa Laconich, Ph D , PLLC is a Clinical Neuropsychologist in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615
Phone: (904) 374-4276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4393 Trevi Ct Apt 205, Lake Worth, FL 33467-4005 — (561) 577-3402

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1598341307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Ayala Laconich — Clinical Neuropsychologist · (561) 577-3402
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address12574 Flagler Center Blvd Ste 101, Jacksonville, FL 32258-2615

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