Provider Demographics
NPI:1467034355
Name:SERRANO, DANIEL ALEXCANDER (FNP-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALEXCANDER
Last Name:SERRANO
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 BLUEBIRD PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8424
Mailing Address - Country:US
Mailing Address - Phone:407-724-9251
Mailing Address - Fax:
Practice Address - Street 1:2234 BLUEBIRD PL
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8424
Practice Address - Country:US
Practice Address - Phone:407-724-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily