Individual
MRS. LOURDES SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
9091 N MILITARY TRL, SUITE 11, WEST PALM BEACH, FL 33410-5959
(561) 625-6860
Mailing address
45 PINEHILL TRL W, TEQUESTA, FL 33469-2158
(561) 744-6226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 2144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909733
—
FL
Enumeration date
09/22/2006
Last updated
07/09/2007
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