Provider Demographics
NPI:1215473228
Name:SERAFINE, MELANIE (ARNP)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:SERAFINE
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2676 BENT HICKORY CIR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3667
Mailing Address - Country:US
Mailing Address - Phone:407-324-6159
Mailing Address - Fax:
Practice Address - Street 1:2917 W SR 434 STE 141
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4884
Practice Address - Country:US
Practice Address - Phone:407-324-6159
Practice Address - Fax:407-732-4329
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9233415363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner