MEDICARE: DR. ANTON SERAFINI M.D.

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	207RM1200X	Magnetic Resonance Imaging (MRI) Internal Medicine Physician	72691	FL
2	207U00000X	Nuclear Medicine Physician	72691	FL
3	207UN0902X	Nuclear Imaging & Therapy Physician	ME72691	FL
4	2085N0904X	Nuclear Radiology Physician	ME72691	FL
5	2085R0202X	Diagnostic Radiology Physician	ME72691	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00656366	OTHER	FL	RR MEDICARE RACF
2	P00656359	OTHER	FL	RR MEDICARE LMIV

Other Identifiers

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

General Provider Information

NPI Number	:	1831196658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTON SERAFINI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3402 W DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6214
Country	:	US
Telephone Number	:	813-875-3950
Fax Number	:	813-872-2741

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/27/2024

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Directions to “ DR. ANTON SERAFINI M.D.” Practice Location

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