Sergio H. Vallejo M. D. , P. A.

LBN: Sergio H. Vallejo M. D. , P. A.
Sergio H. Vallejo M. D. , P. A. is an health care organization with primary practice located at 1543 Lakeland Hills Blvd , Lakeland FL 33805-3246. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Sergio H. Vallejo M. D. , P. A. can be contacted via phone (863) 688-0512, or through Jordan, Diane via phone (863) 688-0512.

Contact Information

Primary practice address
1543 Lakeland Hills Blvd Lakeland FL 33805-3246
Phone: (863) 688-0512
Fax: (863) 686-6895
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Diane
Phone: (863) 688-0512

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME23925 Florida

Profile Details

NPI number 1710165469
LBN Legal business name Sergio H. Vallejo M. D. , P. A.
DBA Doing business as
Authorized official Jordan, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2008
Last updated Aug 16th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710165469 NPPES
Florida MEDICAID 258723800
Florida Other K1372

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