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NPI Code Detail

MEDICARE: KIARA M SERRANO AYALA

MEDICARE:   KIARA M SERRANO AYALA
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
11041C0700XClinical Social WorkerS654-513-92-670-0FL

General Provider Information

NPI Number : 1841646536
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIARA M SERRANO AYALA
Provider Business Mailing Address
First Line : 1707 ORLANDO CENTRAL PKWY STE 480
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5785
Country : US
Telephone Number : 407-844-6965
Fax Number :
Provider Business Practice Location Address
First Line : 1707 ORLANDO CENTRAL PKWY STE 480
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5785
Country : US
Telephone Number : 407-844-6965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 06/11/2026

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Directions to “ KIARA M SERRANO AYALA ” Practice Location

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