Organization
RICARDO A SERRANO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO A SERRANO MD (OWNER & MD)
(321) 453-2267
Entity
Organization
Contact information
Practice address
30 FORTENBERRY RD, MERRITT ISLAND, FL 32952-3616
(321) 453-2267
(321) 453-8019
Mailing address
30 FORTENBERRY RD, MERRITT ISLAND, FL 32952-3616
(321) 453-2267
(321) 453-8019
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0069902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069902
LICENSE
FL
01
—
28957A
MEDICARE ID
FL
01
—
K5220
GROUP ID
FL
Enumeration date
12/04/2007
Last updated
11/27/2023
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