Individual
RUT SERRA EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4327 ANDOVER CAY BLVD, ORLANDO, FL 32825-2711
(305) 338-4542
Mailing address
4327 ANDOVER CAY BLVD, ORLANDO, FL 32825-2711
(305) 338-4542
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2608073
IL
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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