MEDICARE: MILADYS SERRANO

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	174400000X	Specialist
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1528568649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILADYS SERRANO

Provider Business Mailing Address
First Line	:	1924 DAIRY RD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32904-4046
Country	:	US
Telephone Number	:	347-697-0282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 DAIRY RD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32904-4046
Country	:	US
Telephone Number	:	321-256-8000
Fax Number	:

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

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	04/27/2023

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Directions to “ MILADYS SERRANO ” Practice Location

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