| Jorge L Serra Md Pa | |
|
3501 Health Center Blvd Suite 2190 Bonita Springs FL 34135-8133 | |
| (239) 221-8475 | |
| (239) 221-8487 |
| Full Name | Jorge L Serra Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3501 Health Center Blvd, Bonita Springs, Florida |
| Authorized Official Name and Position | Jorge L Serra (OWNER) |
| Authorized Official Contact | 2392218475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge L Serra Md Pa 3501 Health Center Blvd Suite 2190 Bonita Springs FL 34135-8133 Ph: (239) 221-8475 | Jorge L Serra Md Pa 3501 Health Center Blvd Suite 2190 Bonita Springs FL 34135-8133 Ph: (239) 221-8475 |
| NPI Number | 1821246489 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 12/03/2009 |
| Medicare PECOS PAC ID | 9638237274 |
|---|---|
| Medicare Enrollment ID | O20081025000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821246489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge L Serra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841287208 PECOS PAC ID: 1658448170 Enrollment ID: I20080925000569 |
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