Provider Demographics
NPI:1255324620
Name:SERROS, ROBERT N (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:N
Last Name:SERROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:115 W COLUMBIA ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1046
Mailing Address - Country:US
Mailing Address - Phone:407-843-2020
Mailing Address - Fax:407-649-9299
Practice Address - Street 1:115 W COLUMBIA ST
Practice Address - Street 2:SUITE E
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1046
Practice Address - Country:US
Practice Address - Phone:407-843-2020
Practice Address - Fax:407-649-9299
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0008809207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044031100Medicaid
FL48417YMedicare PIN
FLD55275Medicare UPIN