Provider Demographics
NPI:1972665693
Name:SEMERARO, ANNE VERA (LMT)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:VERA
Last Name:SEMERARO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:SEMERARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18724 NW 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2324
Mailing Address - Country:US
Mailing Address - Phone:305-623-2742
Mailing Address - Fax:
Practice Address - Street 1:18724 NW 55TH AVE
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33055-2324
Practice Address - Country:US
Practice Address - Phone:305-623-2742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2013-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA34989225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist