Serra, Fernando G

Serra, Fernando G is an sole proprietor health care provider with primary practice located at 910 Old Camp Rd Ste 142, The Villages FL 32162-5604. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Serra, Fernando G can be contacted via phone (352) 259-0722.

Contact Information

Primary practice address
910 Old Camp Rd Ste 142 The Villages FL 32162-5604
Phone: (352) 259-0722
Fax: (352) 259-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME76142 Florida

Profile Details

NPI number 1447365739
LBN Legal business name Serra, Fernando G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Apr 30th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447365739 NPPES
Florida MEDICAID 255484400
Florida Other 43918

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