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General NPI Number Information
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NPI Number | 1386906550
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Entity Type | Individual
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Provider Name | FEDERICO JOSE SERROT MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 3801 S KANNER HWY STE 200
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City | STUART
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State | FL
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Zip | 34994-4801
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Country | US
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Telephone | 772-219-4026
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Fax | 772-283-4919
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Provider Business Mailing Address
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Address Line | 3801 S KANNER HWY STE 200
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City | STUART
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State | FL
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Zip | 34994-4801
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Country | US
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Telephone | 772-219-4026
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Fax | 772-283-4919
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 81548
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 162320
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License Number State | FL
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