MEDICARE: JORGE L SERRAT

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	2080P0205X	Pediatric Endocrinology Physician

General Provider Information

NPI Number	:	1245695931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORGE L SERRAT

Provider Business Mailing Address
First Line	:	650 NW 180TH TER
Second Line	:	SUITE 101
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2825
Country	:	US
Telephone Number	:	954-392-1880
Fax Number	:	954-392-1088

Provider Business Practice Location Address
First Line	:	650 NW 180TH TER
Second Line	:	SUITE 101
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2825
Country	:	US
Telephone Number	:	954-392-1880
Fax Number	:	954-392-1088

Authorized Official
Title or Position	:	MD
Name	:	JORGE SERRAT
Credential	:	MD
Telephone Number	:	95439218880

Provider Enumeration Date	:	12/22/2015
Last Update Date	:	12/22/2015

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Directions to “JORGE L SERRAT ” Practice Location

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