Provider Demographics
NPI:1699659391
Name:CAPUANA, LAURA GIULIANA (LMT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:GIULIANA
Last Name:CAPUANA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 COBBLER DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-3315
Mailing Address - Country:US
Mailing Address - Phone:813-428-1365
Mailing Address - Fax:
Practice Address - Street 1:6585 SIMONS RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-7800
Practice Address - Country:US
Practice Address - Phone:813-428-1365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA103131225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist