Doctor Name: | FERNANDO G SERRA |
NPI Number: | 1447365739 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME76142 |
Business Practice Address: | 910 Old Camp Rd Ste 142 The Villages, FL - 321625604 |
Business Phone Number: | 3522590722 |
Business Fax Number: | 3522590721 |
Mailing Address: | 910 Old Camp Rd, Ste 142 THE VILLAGES |
State: | FL |
Postal Code: | 321625604 |
Phone Number: | 3522590722 |
Fax Number: | 3522590721 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME76142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |