Organization Active NPI

E. John Serrao, M.D.

  • Specialist
  • Orlando, FL
National Provider Identifier
1841680733
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050482 Issued in FL
Legal business name
E. JOHN SERRAO, M.D.
Practice address
2905 McRae Ave
Suite 1
Orlando, FL 32803-1207
Phone
(407) 897-2230
Fax
(407) 897-1111
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Egbert John Serrao, M.D.
Title
OB/GYN
Phone
(407) 897-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0050482 FL Primary

Addresses

Primary practice location

2905 McRae Ave
Suite 1
Orlando, FL 32803-1207

Mailing address

2905 McRae Ave
Suite 1
Orlando, FL 32803-1207
Phone (407) 897-2230

National Provider Directory

National Provider Directory

Locations

2905 McRae Ave
Ste 1
Orlando, FL 32803
Phone (407) 897-2230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1841680733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MCRAE AVE",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031207",
            "telephone_number": "407-897-2230",
            "fax_number": "407-897-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MCRAE AVE",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031207",
            "telephone_number": "407-897-2230",
            "fax_number": "407-897-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JOHN SERRAO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SERRAO",
        "authorized_official_first_name": "EGBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "407-897-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.