Provider Demographics
NPI:1528891470
Name:SERRA, JANET (JANET SERRA MELENDEZ)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:SERRA
Suffix:
Gender:F
Credentials:JANET SERRA MELENDEZ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3282 CANOE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-9115
Mailing Address - Country:US
Mailing Address - Phone:407-490-5101
Mailing Address - Fax:
Practice Address - Street 1:3282 CANOE CREEK RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-9115
Practice Address - Country:US
Practice Address - Phone:407-490-5101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL72762355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant