Serra, Jorge L
Serra, Jorge L is an sole proprietor health care provider with primary practice located at 3501 Health Center Blvd Suite 2190, Fort Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Serra, Jorge L can be contacted via phone (239) 221-8475.Contact Information
Primary practice address
3501 Health Center Blvd Suite 2190
Fort Myers FL 33908
Phone: (239) 221-8475
Fax: (239) 221-8487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0058799 | Florida |
Profile Details
| NPI number | 1841287208 |
|---|---|
| LBN Legal business name | Serra, Jorge L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Dec 7th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841287208 | NPPES |
| Florida | MEDICAID | 372871400 |
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