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Individual

DONALD I SEROT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2135 HARDEN BLVD, BUILDING C, LAKELAND, FL 33803-5918
(863) 687-1250
(863) 687-1258
Mailing address
2135 HARDEN BLVD, BUILDING C, LAKELAND, FL 33803-5918
(863) 687-1250
(863) 687-1258

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME-95826
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497748743
GROUP NPI NUMBER
FL
05
276452100
FL
01
56680
BCBS OF FLORIDA
FL
01
DA5786
RAILROAD MEDICARE GROUP NUMBER
FL
Enumeration date
08/03/2005
Last updated
05/24/2012
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