Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Marie Laczko, PA-C

Individual provider Physician Assistant · NPI 1891383329

Courtney Marie Laczko, PA-C is a Physician Assistant in Hollywood, Florida. Qualified in 2022, 4 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3501 Johnson St
Hollywood, FL 33021-5421
Phone: (954) 265-2243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 S University Dr, Davie, FL 33328-2018 — (954) 262-1250

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1891383329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 10, 2021
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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