Camel Irrv Complex Trust

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CAMEL IRRV COMPLEX TRUST

Practice address

3750 US 27 N Ste 4F
Sebring, FL 33870-1658

Phone

(863) 382-8080

Fax

(863) 382-3811

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cirilo M. Seralde Jr., MDNPI 1720093263

Title

Director

Phone

(863) 382-8080

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heartland Medical & Pulmonary Group Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cirilo M. Seralde Jr., MD

  • General Practice Physician
  • Sebring, FL
  • NPI 1720093263
  NPD (past) Authorized official
• Victor Medina Seralde, M.D.

  • General Practice Physician
  • Sebring, FL
  • NPI 1255449047
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1902095870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 US 27 N STE 4F",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701658",
            "telephone_number": "863-382-8080",
            "fax_number": "863-382-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 US 27 N STE 4F",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701658",
            "telephone_number": "863-382-8080",
            "fax_number": "863-382-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEL IRRV COMPLEX TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SERALDE",
        "authorized_official_first_name": "CIRILO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-382-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICTOR M. SERALDE MD",
            "identifier": "D21429",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIRILO M. SERALDE, JR. MD",
            "identifier": "D54734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Medical & Pulmonary Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annette M. Bullard, COTA
• Deborah Rhoda Caballero Rodriguez
• Mauclair Cajuste, MD
• Elena Caldeira Carvajal, MD
• Juan Manuel Camacho, PMHNP
• Camelot Healthcare Management Inc (Suncare Respiratory Services)
• Raisa D Camilo, M.D
• David Angelo Campano, DMD
• Campbell Medical, Inc.
• Hannah Campbell, APRN-BC

• Clinic/Center in Sebring, FL
• Providers in Sebring, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.