SERGE JEAN (NPI# 1265491575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265491575 |
| Entity Type | Individual |
| Full Name | SERGE JEAN |
| Credential | MD, PHD |
| Practice Address |
1755 N Florida Ave Lakeland FL 33805-3109 |
| Mailing Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 |
| Practice Telephone | 8639046296 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME78531 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1755 N FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332767 | Raam Satish Lakhani | Otolaryngology | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2006-01-27 |
| 1043827181 | Lindsey Rebecca Moder | Audiologist | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2020-09-23 |
| 1851905194 | Kayla Mcgraw Hester | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2020-09-03 |
| 1437774593 | Logan Honea Bonadio | Audiologist | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2020-06-14 |
| 1821586116 | Melissa Ann Kham | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2018-04-23 |
| 1962903351 | Heather Michelle Wilson | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2018-02-22 |
| 1598299166 | Kathi Brown | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2017-04-20 |
| 1982135687 | Laura J Pellegrini | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2017-03-23 |
| 1932657871 | Anissa Hohnstreiter | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2016-09-21 |
| 1437604105 | Alicia Belisle | Nurse Practitioner | 1755 N Florida Ave, Lakeland, FL 33805-3109 | 2016-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891346 | Armando Jimenez | Otolaryngology | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2005-06-20 |
| 1457670424 | Kaete Alexandra Archer | Otolaryngology | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2010-05-28 |
| 1194042234 | Stuart Cameron Owens | Otolaryngology | 3470 Lakeland Hills Blvd, Lakeland, FL 33805 | 2010-04-29 |
| 1013024975 | Kevin Lynn Robinson | Otolaryngology | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2006-08-24 |
| 1902877558 | William Robert Bosley | Otolaryngology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-31 |
| 1962491167 | Joseph Albert Ninke | Otolaryngology | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.