Serrano, Marcial

Serrano, Marcial is an individual health care provider with primary practice located at 455 W Warren Ave , Longwood FL 32750-4002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Serrano, Marcial can be contacted via phone (407) 262-2220.

Contact Information

Primary practice address
455 W Warren Ave Longwood FL 32750-4002
Fax: (407) 834-5011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 38187 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME62045 Florida

Profile Details

NPI number 1053358135
LBN Legal business name Serrano, Marcial
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 10th, 2016 - about 8 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 1053358135 NPPES
Kentucky MEDICAID 30603013
Kentucky MEDICAID 370964700
Kentucky Other 15173
Kentucky Other ME62045

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