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Organization

CMS IRRV COMPLEX TRUST

Active
Other names
Sebring Medical Walk-in Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CIRILO M SERALDE JR. M.D. (DIRECTOR/PHYSICIAN)
(863) 382-2772
Entity
Organization

Contact information

Practice address
343 S COMMERCE AVE, SEBRING, FL 33870-3607
(863) 382-2772
(863) 382-3172
Mailing address
343 S COMMERCE AVE, SEBRING, FL 33870-3607
(863) 382-2772
(863) 382-3172

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0043253
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659563971
NPI -GROUP
FL
01
259715200
MEDICAID GROUP MEDIPASS NUMBER
FL
01
41214Z
MEDICARE PROVIDER CIRILO SERALDE FOR SEBRING CLINIC
FL
01
D21429
DR.VICTOR SERALDE-UPIN
FL
01
D54734
DR.CIRILO SERALDE,JR-UPIN
FL
01
K2381
MEDICARE PTAN GROUP NUMBER
FL
Enumeration date
08/10/2007
Last updated
01/09/2013
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