Provider Demographics
NPI:1336175827
Name:SERA-JOSEF, JOY TUZON (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:TUZON
Last Name:SERA-JOSEF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 HOLLY PINE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-2275
Mailing Address - Country:US
Mailing Address - Phone:786-556-7680
Mailing Address - Fax:
Practice Address - Street 1:430 STATE ROAD 436 STE 224
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-4965
Practice Address - Country:US
Practice Address - Phone:786-449-5448
Practice Address - Fax:786-221-2563
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1436332363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP68843Medicare UPIN