Provider First Line Business Practice Location Address:
MICHAEL SERAPHIN
Provider Second Line Business Practice Location Address:
550 S. JACKSON ST 3RD FLOOR, MED-PEDS
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-852-4277
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2024