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NPI Code Detail

MEDICARE: DEXTER C SEREDA MD

MEDICARE: DEXTER C SEREDA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianME47069FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356337026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEXTER C SEREDA MD
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line : MPG DOOR D
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-276-5581
Fax Number : 954-985-7074
Provider Business Practice Location Address
First Line : 7800 SHERIDAN ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-2536
Country : US
Telephone Number : 954-883-8403
Fax Number : 954-883-8448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/18/2021

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Directions to “ DEXTER C SEREDA MD” Practice Location

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