Bloomfield, Serena Lurie

Bloomfield, Serena Lurie is an sole proprietor health care provider with primary practice located at 3725 Dupont Station Ct S Suite 3, Jacksonville FL 32217-2518. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bloomfield, Serena Lurie can be contacted via phone (904) 448-1519.

Contact Information

Primary practice address
3725 Dupont Station Ct S Suite 3 Jacksonville FL 32217-2518
Phone: (904) 448-1519
Fax: (904) 733-1340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0004692 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3957 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY0004692 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY0004692 Florida

Profile Details

NPI number 1548270994
LBN Legal business name Bloomfield, Serena Lurie
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers