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

Mr. Antwan Edward Lacy, FNP-C

Individual provider Family Nurse Practitioner · NPI 1477059376

Mr. Antwan Edward Lacy, FNP-C is a Nurse Practitioner in Saint Petersburg, Florida. Qualified in 2017, 9 years ago. Practices with Ohi West Medical Group LLC, a 200-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

7000 4th St N Ste A
Saint Petersburg, FL 33702-5903
Phone: (727) 526-3627
Fax: (727) 525-3492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9372952 (FL)

Record details

NPI number1477059376
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 1, 2018
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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