Provider Demographics
NPI:1154664852
Name:FRANCISCO AGUILO-SEARA M.D., P.A.
Entity Type:Organization
Organization Name:FRANCISCO AGUILO-SEARA M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PVST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:AGUILO-SEARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-433-3000
Mailing Address - Street 1:629 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-2417
Mailing Address - Country:US
Mailing Address - Phone:321-631-5026
Mailing Address - Fax:321-433-3001
Practice Address - Street 1:1268 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2712
Practice Address - Country:US
Practice Address - Phone:321-433-3000
Practice Address - Fax:321-433-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250875300Medicaid
FL31219AMedicare PIN
FL250875300Medicaid