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Organization

SERGIO B SEOANE MD PA

Active
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Organization

SERGIO B SEOANE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SERGIO B SEOANE M.D. (PRESIDENT)
(863) 644-2204
Entity
Organization

Contact information

Practice address
118 ALLAMANDA SR, LAKELAND, FL 33803
(863) 644-2404
(863) 904-2510
Mailing address
PO BOX 2186, BARTOW, FL 33831-2186
(863) 644-2204
(863) 904-2510

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
01/06/2011
Last updated
01/06/2011
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