Healthcare Provider Details

I. General information

NPI: 1285217349
Provider Name (Legal Business Name): LAUREN CAROLINE SERRAO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN CAROLINE CHILL APRN

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 LEE RD STE 170
WINTER PARK FL
32789-2167
US

IV. Provider business mailing address

1801 LEE RD STE 170
WINTER PARK FL
32789-2167
US

V. Phone/Fax

Practice location:
  • Phone: 407-896-2901
  • Fax: 407-896-2902
Mailing address:
  • Phone: 407-896-2901
  • Fax: 407-896-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11013002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: