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

Laurie Dianne Letizia, PA-C

Individual provider Physician Assistant · NPI 1245596600

Laurie Dianne Letizia, PA-C is a Physician Assistant in Orange City, Florida. Graduated from Mercer University School of Medicine in 2012, 14 years ago. Practices with Gastroenterology Institute of Orlando LLC, a 5-clinician group and works from 2 locations. Licensed in Florida and Georgia.

Years since qualifying
14
Trained at
Mercer University School of Medicine
Licensed in
FL, GA
In the registry since
2012
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

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone: (386) 668-2221
Fax: (386) 668-2228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 835 Currency Cir Ste 1001, Lake Mary, FL 32746-2293 — (407) 749-6656

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9113371 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 006469 (GA)

Record details

NPI number1245596600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Gastroenterology Institute Of Orlando Llc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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