Provider Demographics
NPI:1922232776
Name:CSERE, LAURA (DO)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:CSERE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4830 W KENNEDY BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2584
Mailing Address - Country:US
Mailing Address - Phone:813-992-6620
Mailing Address - Fax:804-999-0464
Practice Address - Street 1:4830 W KENNEDY BLVD STE 600
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2584
Practice Address - Country:US
Practice Address - Phone:813-992-6620
Practice Address - Fax:804-999-0464
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS143052084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine