Provider Demographics
NPI:1952549719
Name:ARGUELLO, SERGIO ANTONIO (MD)
Entity type:Individual
Prefix:
First Name:SERGIO
Middle Name:ANTONIO
Last Name:ARGUELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N STATE ROAD 7 STE 203B
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4528
Mailing Address - Country:US
Mailing Address - Phone:954-344-3454
Mailing Address - Fax:
Practice Address - Street 1:100 N STATE ROAD 7 STE 203B
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4528
Practice Address - Country:US
Practice Address - Phone:954-344-3454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-31
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 108089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine