MEDICARE: DONALD I SEROT 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
1	207X00000X	Orthopaedic Surgery Physician	ME-95826	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DA5786	OTHER	FL	RAILROAD MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56680	OTHER	FL	BCBS OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1497748743	OTHER	FL	GROUP NPI NUMBER

General Provider Information

NPI Number	:	1831190529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD I SEROT MD

Provider Business Mailing Address
First Line	:	2135 HARDEN BLVD
Second Line	:	BUILDING C
City	:	LAKELAND
State	:	FL
Zip	:	33803-5918
Country	:	US
Telephone Number	:	863-687-1250
Fax Number	:	863-687-1258

Provider Business Practice Location Address
First Line	:	2135 HARDEN BLVD
Second Line	:	BUILDING C
City	:	LAKELAND
State	:	FL
Zip	:	33803-5918
Country	:	US
Telephone Number	:	863-687-1250
Fax Number	:	863-687-1258

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	05/24/2012

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Directions to “ DONALD I SEROT MD” Practice Location

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