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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1447365739 | NPPES |
| Florida | MEDICAID | 255484400 | |
| Florida | Other | 43918 |
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