Individual ProviderManiya Nova SerraNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2881 Delaney Ave, Orlando, FL 32806-5411(407) 652-6000PECOS EnrollmentBased on the most recent information from CMS, provider Maniya Nova Serra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093286718Provider TypeIndividualFull NameSerra, Maniya NovaGenderFemaleSole ProprietorYesEnumeration Date12/6/2018Last Updated3/20/2023Contact InformationPractice LocationPractice Address2881 Delaney Ave, Orlando, FL 32806-5411Phone(407) 652-6000FaxUnlisted FaxMailing LocationMailing Address2881 Delaney Ave, Orlando, FL 32806-5411Phone(407) 652-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9281976Florida