Active NPI
Serlah Dadine Puza, PT
- Physical Therapist
- Lake Mary, FL
National Provider Identifier
1043845613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35557
- Practice address
- 710 N Sun Dr
Lake Mary, FL 32746-2507 - Phone
- (407) 805-3131
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35557 | FL | Primary |
Addresses
Primary practice location
710 N Sun Dr
Lake Mary, FL 32746-2507
Mailing address
12049 Ashton Manor Way Apt 208
Orlando, FL 32828-7019
Phone (407) 257-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35557 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1043845613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12049 ASHTON MANOR WAY APT 208",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287019",
"telephone_number": "407-257-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N SUN DR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462507",
"telephone_number": "407-805-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUZA",
"first_name": "SERLAH DADINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
- Publix Super Markets Inc
- Pulmonary Consultants of Central Florida, LLC
- Pure Chiropractic & Natural Health, Inc
- Pure Chiropractic & Natural Health, PA
- Pure PT Physical Therapy LLC
- Kenneth E Pyle, D.D.S.
- Quality Assured Services Inc.
- Quality Assured Services Inc.
- Mary C Quinn Bergin, RN
- Stefanie Allison Quinones, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.