Provider Demographics
NPI:1841680733
Name:E. JOHN SERRAO, M.D.
Entity type:Organization
Organization Name:E. JOHN SERRAO, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OB/GYN
Authorized Official - Prefix:DR
Authorized Official - First Name:EGBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SERRAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-897-2230
Mailing Address - Street 1:2905 MCRAE AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1207
Mailing Address - Country:US
Mailing Address - Phone:407-897-2230
Mailing Address - Fax:407-897-1111
Practice Address - Street 1:2905 MCRAE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1207
Practice Address - Country:US
Practice Address - Phone:407-897-2230
Practice Address - Fax:407-897-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050482174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty