Individual
SERENA EDEN PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
11682 SW 91ST TER, MIAMI, FL 33176-1060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9454577
FL
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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