Thomas G Serio Md Pa | |
1802 Miccosukee Commons Dr Tallahassee FL 32308-5432 | |
(850) 656-5411 | |
(850) 656-5611 |
Full Name | Thomas G Serio Md Pa |
---|---|
Speciality | Clinic/Center |
Location | 1802 Miccosukee Commons Dr, Tallahassee, Florida |
Authorized Official Name and Position | Thomas G Serio (PRESIDENT) |
Authorized Official Contact | 8506565411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Thomas G Serio Md Pa 1802 Miccosukee Commons Dr Tallahassee FL 32308-5432 Ph: (850) 656-5411 | Thomas G Serio Md Pa 1802 Miccosukee Commons Dr Tallahassee FL 32308-5432 Ph: (850) 656-5411 |
NPI Number | 1750540217 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 08/13/2008 |
Medicare PECOS PAC ID | 5193889699 |
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Medicare Enrollment ID | O20090128000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750540217 | NPI | - | NPPES |
377627100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Thomas G Serio |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184654055 PECOS PAC ID: 1759467582 Enrollment ID: I20080319000494 |
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