Individual
DR. SERGIO G MOREIRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 RACETRACK RD NW STE 100C, FORT WALTON BEACH, FL 32547-1796
(850) 863-3463
(850) 862-0188
Mailing address
320 RACETRACK RD NW STE 100C, FORT WALTON BEACH, FL 32547-1796
(850) 863-3463
(850) 862-0188
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
M8184
TX
208800000X
Urology Physician
Primary
ME89888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117574300
—
FL
01
—
T7744
MEDICARE HF
FL
Enumeration date
05/10/2006
Last updated
12/23/2024
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