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Organization

JOHN SERPA MD P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN A SERPA MD (PHYSICIAN)
(305) 698-9077
Entity
Organization

Contact information

Practice address
1800 W 68TH ST STE 115, HIALEAH, FL 33014-4406
(305) 698-9077
(305) 698-9077
Mailing address
1800 W 68TH ST STE 115, HIALEAH, FL 33014-4406
(305) 698-9077
(305) 698-9077

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME79847
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262296300
FL
Enumeration date
08/31/2011
Last updated
05/15/2012
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