Provider Demographics
NPI:1679530265
Name:GAFFNEY, LAURA BURNS (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BURNS
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34637 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-2152
Mailing Address - Country:US
Mailing Address - Phone:727-786-1673
Mailing Address - Fax:727-785-0284
Practice Address - Street 1:34637 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2152
Practice Address - Country:US
Practice Address - Phone:727-786-1673
Practice Address - Fax:727-785-0284
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102928208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5261531OtherAETNA
FL93081OtherBLUE CROSS BLUE SHIELD
FL93081OtherBLUE CROSS BLUE SHIELD
FLH03353Medicare UPIN