MEDICARE: MS. LAURA SERRANO MS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922282516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA SERRANO MS

Provider Business Mailing Address
First Line	:	13760 SW 36TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-7207
Country	:	US
Telephone Number	:	305-546-3512
Fax Number	:

Provider Business Practice Location Address
First Line	:	13760 SW 36TH STREET
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-7207
Country	:	US
Telephone Number	:	305-546-3512
Fax Number	:

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

Provider Enumeration Date	:	12/19/2007
Last Update Date	:	02/19/2008

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