Organization
VISITING PODIATRIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NYDIA SERRANO DPM (PRESIDENT)
(407) 658-9553
Entity
Organization
Contact information
Practice address
7647 TERN DR, ORLANDO, FL 32822-7669
(407) 658-9553
Mailing address
7647 TERN DR, ORLANDO, FL 32822-7669
(407) 658-9553
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2973
FL
Other
Enumeration date
03/11/2011
Last updated
05/04/2011
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