Provider Demographics
NPI:1851453088
Name:SENAN, LUZ F (DC)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:F
Last Name:SENAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 CESERY BLVD
Mailing Address - Street 2:STE 106
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211
Mailing Address - Country:US
Mailing Address - Phone:904-683-0394
Mailing Address - Fax:904-683-0394
Practice Address - Street 1:8081 PHILLIPS HIGHWAY
Practice Address - Street 2:STE 17
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256
Practice Address - Country:US
Practice Address - Phone:904-743-2222
Practice Address - Fax:904-743-3087
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382223100Medicaid
FL382223100Medicaid
FLAI541Medicare PIN