Luis E Reyes Serrano
Luis E Reyes Serrano is a Nurse Practitioner in Clearwater, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
1456 Ridgelane RdClearwater, FL 33755-1261
Phone: (727) 776-1728
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Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 11016976 (FL) |
|---|
Record details
| NPI number | 1780326884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2022 |
| Last updated in NPPES | April 9, 2022 |
| Certification date | April 9, 2022 |
| Mailing address | 1456 Ridgelane Rd, Clearwater, FL 33755-1261 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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