Individual
GINO J SEDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 747-8789
(941) 747-8711
Mailing address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 747-8789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0076343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033U
BCBS OF FL
FL
01
—
10720565
CAQH
FL
01
—
22578
WELLCARE/MEDICARE PLAN ONLY
FL
01
—
2563861
CIGNA
FL
01
—
259743
AVMED
FL
01
—
5960298
AETNA PIN
FL
01
—
P103504
FREEDOM MCR HMO
FL
01
—
P510837
OPTIMUM MCR HMO
FL
Enumeration date
12/20/2005
Last updated
02/13/2023
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