Individual
JOHN A. SERPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W 68TH ST STE 115, HIALEAH, FL 33014-4406
(305) 698-9077
(305) 827-4925
Mailing address
1800 W 68TH ST STE 115, HIALEAH, FL 33014-4406
(305) 698-9077
(305) 827-4925
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME79847
FL
208VP0000X
Pain Medicine Physician
ME79847
FL
208VP0014X
Interventional Pain Medicine Physician
ME79847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01114
BCBS OF FL
FL
05
—
262296300
—
FL
Enumeration date
01/18/2006
Last updated
03/30/2021
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