Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laquavian Eliacin

Individual provider Prosthetic/Orthotic Supplier · NPI 1467068635

Laquavian Eliacin is a Prosthetic/Orthotic Supplier in Port St Lucie, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1738 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5467
Phone: (772) 200-0870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 — (772) 200-0870

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1467068635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 2, 2020

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