| Ricardo A Serrano Md Llc | |
|
30 Fortenberry Rd Merritt Island FL 32952-3616 | |
| (321) 453-2267 | |
| (321) 453-8019 |
| Full Name | Ricardo A Serrano Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Fortenberry Rd, Merritt Island, Florida |
| Authorized Official Name and Position | Ricardo A Serrano (OWNER & MD) |
| Authorized Official Contact | 3214532267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo A Serrano Md Llc 30 Fortenberry Rd Merritt Island FL 32952-3616 Ph: (321) 453-2267 | Ricardo A Serrano Md Llc 30 Fortenberry Rd Merritt Island FL 32952-3616 Ph: (321) 453-2267 |
| NPI Number | 1922280619 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0345232799 |
|---|---|
| Medicare Enrollment ID | O20040402001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922280619 | NPI | - | NPPES |
| 28957A | Other | FL | MEDICARE ID |
| K5220 | Other | FL | GROUP ID |
| 0069902 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 0069902 (Florida) | Primary |
| Provider Name | Ricardo Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629180351 PECOS PAC ID: 9931192358 Enrollment ID: I20040405000985 |
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