RICARDO A SERRANO MD LLC NPI 1922280619

NPI Information

  • NPI: 1922280619
  • Provider Name: RICARDO A SERRANO MD LLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 30 FORTENBERRY RD
    MERRITT ISLAND, FL
    ZIP 32952
  • Phone: (321) 453-2267

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NPI Details

RICARDO A SERRANO MD LLC is an adult medicine family medicine in Merritt Island, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. RICARDO A SERRANO MD LLC NPI is 1922280619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 FORTENBERRY RD
MERRITT ISLAND, FL
ZIP 32952-616
Phone: (321) 453-2267
Fax: (321) 453-8019

The provider's authorized official is Ricardo A Serrano .
The authorized official title is Owner & Md and has the following contact phone number (321) 453-2267.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine0069902FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
128957AOTHERFLORIDAMEDICARE ID
2K5220OTHERFLORIDAGROUP ID
30069902OTHERFLORIDALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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