Individual ProviderLaila RoysterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address385 Waymont Ct, Lake Mary, FL 32746-3574(407) 851-5121(321) 279-7356PECOS EnrollmentBased on the most recent information from CMS, provider Laila Royster is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1982412144Provider TypeIndividualFull NameRoyster, LailaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date12/19/2024Last Updated12/19/2024Contact InformationPractice LocationPractice Address385 Waymont Ct, Lake Mary, FL 32746-3574Phone(407) 851-5121FaxUnlisted FaxMailing LocationMailing Address113 Eastwind Ln, Fern Park, FL 32730-2911Phone(321) 279-7356FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11036876Florida