Provider Demographics
NPI:1801767850
Name:REYES SERRANO, PAOLA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:MARIE
Last Name:REYES SERRANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N ORANGE AVE APT 4308
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-7317
Mailing Address - Country:US
Mailing Address - Phone:787-994-9999
Mailing Address - Fax:
Practice Address - Street 1:750 N ORANGE AVE APT 4308
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-7317
Practice Address - Country:US
Practice Address - Phone:787-994-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI43467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist