MEDICARE: SERGE PIERRE-LOUIS M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	ME90781	FL

General Provider Information

NPI Number	:	1932167095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGE PIERRE-LOUIS M. D.

Provider Business Mailing Address
First Line	:	2201 LUCIEN WAY STE 100
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-7003
Country	:	US
Telephone Number	:	407-875-0028
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 LUCIEN WAY STE 100
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-7003
Country	:	US
Telephone Number	:	407-875-0028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	02/05/2026

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