FERNANDO G SERRA (NPI# 1447365739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447365739 |
| Entity Type | Individual |
| Full Name | FERNANDO G SERRA |
| Credential | MD |
| Practice Address |
910 Old Camp Rd Ste 142 The Villages FL 32162-5604 |
| Practice Telephone | 3522590722 |
| Practice Fax Number | 3522590721 |
| Mailing Telephone | 3522590722 |
| Mailing Fax Number | 3522590721 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME76142 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER # | 43918 | 01 |
| FL | 255484400 | 05 |
| Street Address |
910 OLD CAMP RD STE 142 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500088 | The Medicine Chest Inc | Durable Medical Equipment & Medical Supplies | 910 Old Camp Rd, Building #170, The Villages, FL 32162-5604 | 2005-10-04 |
| 1558808006 | Gina Alexander | Occupational Therapy Assistant | 910 Old Camp Rd, The Villages, FL 32162-5604 | 2017-01-23 |
| 1770035081 | Brian Kinsey | Nurse Practitioner | 910 Old Camp Rd, The Villages, FL 32162-5604 | 2016-11-03 |
| 1770032070 | Sinai Healthcare | Nurse Practitioner | 910 Old Camp Rd, Suite 144, The Villages, FL 32162-5604 | 2016-09-27 |
| 1598159576 | Rose Wellness Clinic LLC | Physical Therapist | 910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 | 2015-03-26 |
| 1962828749 | Fross Chiropractic | Chiropractor | 910 Old Camp Rd, Ste 92, The Villages, FL 32162-5604 | 2014-03-17 |
| 1003245721 | Chad Michael Rose | Chiropractor | 910 Old Camp Rd, Suite 92, The Villages, FL 32162-5604 | 2013-11-04 |
| 1093053647 | Donald Eugene Berisford | Pharmacist | 910 Old Camp Rd, Building # 170, The Villages, FL 32162-5604 | 2013-01-16 |
| 1366729402 | Cathy J Eagle | Nurse Practitioner | 910 Old Camp Rd, Bldg 210, The Villages, FL 32162-5604 | 2011-11-03 |
| 1255630471 | Lco Group, Pa | Clinic/Center | 910 Old Camp Rd, Building 10, Suite 112, The Villages, FL 32162-5604 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710389911 | Margarita Mendez | Specialist | 11962 County Road 101 Ste 104, The Villages, FL 32162-9336 | 2014-09-18 |
| 1326325416 | Miracle-ear | Specialist | 3497 Wedgewood Ln, The Villages, FL 32162-7184 | 2011-11-03 |
| 1053598672 | Hear At Last LLC | Specialist | 975 Del Mar Dr, The Villages, FL 32159-7734 | 2008-01-25 |
| 1659564219 | Ann L Jones | Specialist | 8686a E County Road 466, The Villages, FL 32162-3670 | 2007-08-27 |
| 1205058005 | Jennifer Kemp | Specialist | 16819 Se 80th St Bathurst Ct, The Villages, FL 32162-8303 | 2007-05-02 |
| 1780613950 | Delcare, Pa | Specialist | 1400 Us Hwy 441 N., Suite 924, The Villages, FL 32159-1884 | 2006-07-01 |
| 1265411417 | Colleen R Mcquade | Specialist | 11834 County Road 101, Suite 202, The Villages, FL 32162-9306 | 2006-01-14 |
| 1235133505 | John A Purcell | Specialist | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 | 2005-06-02 |
| 1770129504 | Compassionate Care Hospice of Lake and Sumter Inc | Specialist | 304 Lagrande Blvd, The Villages, FL 32159-2388 | 2019-11-27 |
| 1336674761 | Alvin Amboy Du | Specialist | 3890 Woodridge Dr, The Villages, FL 32162-7186 | 2017-04-24 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
Please comment or provide details below to improve the information on FERNANDO G SERRA.
| 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.