Individual
JOAO MIGUEL SERIGADO SOARES DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 SE HOSPITAL AVE # 2346, STUART, FL 34994-2346
(772) 287-5200
Mailing address
200 SE HOSPITAL AVE # 2346, STUART, FL 34994-2346
(772) 287-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
055274
CT
207R00000X
Internal Medicine Physician
ME134565
FL
207RG0100X
Gastroenterology Physician
Primary
ME134565
FL
390200000X
Student in an Organized Health Care Education/Training Program
MD2020-0357
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/15/2015
Last updated
08/13/2023
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