Provider Demographics
NPI:1881299451
Name:SERDYUK, FRANCHESCA
Entity type:Individual
Prefix:
First Name:FRANCHESCA
Middle Name:
Last Name:SERDYUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8856 SAN ANDROS
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5518
Mailing Address - Country:US
Mailing Address - Phone:570-242-2940
Mailing Address - Fax:
Practice Address - Street 1:4100 MILITARY TRL
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2870
Practice Address - Country:US
Practice Address - Phone:561-691-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52236333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy