Provider Demographics
NPI:1114011970
Name:LARONDELLE, SERA ROSA (MD)
Entity Type:Individual
Prefix:DR
First Name:SERA
Middle Name:ROSA
Last Name:LARONDELLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5682 BEE RIDGE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1500
Mailing Address - Country:US
Mailing Address - Phone:941-371-3349
Mailing Address - Fax:941-371-7749
Practice Address - Street 1:5682 BEE RIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1500
Practice Address - Country:US
Practice Address - Phone:941-371-3349
Practice Address - Fax:941-371-7749
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 0073795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine