Provider Information for 1164675575
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CARMEN L FERNANDEZ-SERRANO LMHC
Sex: Female
NPI: 1164675575
Last Updated: 2008-10-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1164675575 | ||||||||
| Enumeration Date | 2008-10-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 428 NEW PORT RICHEY, FL 34656-0428 United States Phone: 727-841-4200 | Fax:727-841-4354 | ||||||||
| Primary Practice Address | 8002 KING HELIE BLVD NEW PORT RICHEY, FL 34653-1435 United States Phone: 727-834-3959 | Fax:727-834-3969 | ||||||||
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