Serentill, Luis H

Serentill, Luis H is an sole proprietor health care provider with primary practice located at 13933 17Th St Ste 200 , Dade City FL 33525-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Serentill, Luis H can be contacted via phone (352) 437-5972.

Contact Information

Primary practice address
13933 17Th St Ste 200 Dade City FL 33525-4604
Fax: (352) 437-5974
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0018498 Florida

Profile Details

NPI number 1922050590
LBN Legal business name Serentill, Luis H
Credentials PHYSICIAN/MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Apr 24th, 2023 - about 2 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 1922050590 NPPES
Florida MEDICAID 059309500

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