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General NPI Number Information
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NPI Number | 1831098847
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Entity Type | Organization
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Legal Business Name | SERANOVA INTEGRATIVE HEALTH CORP
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 2300 W 84TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-5770
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Country | US
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Telephone | 786-286-8962
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Fax |
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Provider Business Mailing Address
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Address Line | 2970 W 2ND AVE
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City | HIALEAH
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State | FL
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Zip | 33012-5404
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Country | US
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Telephone | 786-286-8962
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA ELENA LOPEZ
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Credential | FNP-BC, PMHNP-BC
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Telephone | 786-286-8962
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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