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General NPI Number Information
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NPI Number | 1699367557
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Entity Type | Individual
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Provider Name | ALEX JOHN SERRANO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 7901 SW 6TH CT STE 110
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City | PLANTATION
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State | FL
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Zip | 33324-3248
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Country | US
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Telephone | 954-368-9841
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 CEDAR FALLS DR
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City | WESTON
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State | FL
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Zip | 33327-1727
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Country | US
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Telephone | 786-202-7979
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11011500
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License Number State | FL
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