Mr Victor Medina Seralde, MD | |
3750 Us Highway 27 N Ste 4f, Sebring, FL 33870-1658 | |
(863) 382-4949 | |
(863) 382-3811 |
Full Name | Mr Victor Medina Seralde |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 3750 Us Highway 27 N Ste 4f, Sebring, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255449047 | NPI | - | NPPES |
41214C | Other | FL | MEDICARE PROVIDER NUMBER CIRILO SERALDE IN FAIRMOUNT CLINIC |
259715200 | Other | FL | MEDIPASS PROVIDER NUMBER GROUP |
28115A | Other | FL | MEDICARE PROVIDER NUMBER OF VICTOR SERALDE IN FAIRMOUNT CLINIC |
K2401 | Other | FL | MEDICARE PART B GROUP PROVIDER NUMBER |
28115 | Other | FL | MEDICARE INDIVIDUAL PROVIDER DR. VICTOR SERALDE |
067369200 | Other | FL | MEDICAID INDIVIDUAL PROVIDER VICTOR SERALDE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME0041355 (Florida) | Primary |
Entity Name | Mjs Irrv Complex Trust |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588856306 PECOS PAC ID: 2163514670 Enrollment ID: O20120206000524 |
Mailing Address | Practice Location Address |
---|---|
Mr Victor Medina Seralde, MD 3750 Us Highway 27 N Ste 4f, Sebring, FL 33870-1658 Ph: (863) 382-4949 | Mr Victor Medina Seralde, MD 3750 Us Highway 27 N Ste 4f, Sebring, FL 33870-1658 Ph: (863) 382-4949 |
Dr. Carlos M Baez Cubille, MD General Practice Medicare: Medicare Enrolled Practice Location: 4597 Casablanca Cir, Sebring, FL 33870 Phone: 863-236-9550 Fax: 877-832-3363 | |
Dr. Nahed Azmy Nagib, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 3015 Herring Ave, Sebring, FL 33870 Phone: 863-471-1870 Fax: 863-382-3324 | |
Dr. Cirilo M. Seralde Jr., MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 343 S Commerce Ave, Sebring, FL 33870 Phone: 863-382-2772 Fax: 863-382-3172 | |
Dr. Luis M Rodriguez Gonzalez, MD General Practice Medicare: Medicare Enrolled Practice Location: 4597 Casablanca Cir, Sebring, FL 33870 Phone: 863-236-9550 Fax: 877-832-3363 |