Individual
FERNANDO G SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 OLD CAMP RD, STE 142, THE VILLAGES, FL 32162-5604
(352) 259-0722
(352) 259-0721
Mailing address
910 OLD CAMP RD, STE 142, THE VILLAGES, FL 32162-5604
(352) 259-0722
(352) 259-0721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME76142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255484400
—
FL
01
—
43918
BCBS PROVIDER #
FL
Enumeration date
08/20/2006
Last updated
04/30/2015
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