Individual
MARCIAL SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 W WARREN AVE, LONGWOOD, FL 32750-4002
(407) 262-2220
(407) 834-5011
Mailing address
455 W WARREN AVE, LONGWOOD, FL 32750-4002
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
38187
KY
2084P0800X
Psychiatry Physician
Primary
ME62045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15173
BCBS
FL
05
—
30603013
—
KY
05
—
370964700
—
FL
01
—
ME62045
MEDICAL LICENSE
FL
Enumeration date
05/31/2006
Last updated
11/10/2016
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