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Individual

MR. VICTOR MEDINA SERALDE

Active
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Individual

MR. VICTOR MEDINA SERALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0041355
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067369200
MEDICAID INDIVIDUAL PROVIDER VICTOR SERALDE
FL
01
—
259715200
MEDIPASS PROVIDER NUMBER GROUP
FL
01
—
28115
MEDICARE INDIVIDUAL PROVIDER DR. VICTOR SERALDE
FL
01
—
28115A
MEDICARE PROVIDER NUMBER OF VICTOR SERALDE IN FAIRMOUNT CLINIC
FL
01
—
41214C
MEDICARE PROVIDER NUMBER CIRILO SERALDE IN FAIRMOUNT CLINIC
FL
01
—
K2401
MEDICARE PART B GROUP PROVIDER NUMBER
FL
Enumeration date
08/29/2006
Last updated
01/10/2013
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