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Individual

CARMEN A. SERRANO-LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
740 DUNLAWTON AVE, PORT ORANGE, FL 32127-4901
(386) 763-1000
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 615-4015

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
ME74936
FL
207R00000X
Internal Medicine Physician
Primary
ME74936
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME74936
VHN
FL
Enumeration date
03/14/2006
Last updated
06/05/2019
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