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Mjs Irrv Complex Trust
Clinic/Center in Sebring, Florida
NPI 1588856306

Mjs Irrv Complex Trust is a Clinic/Center based in Sebring, FL. Mjs Irrv Complex Trust practices in Sebring, FL. The NPI Number for Mjs Irrv Complex Trust is 1588856306 and holds a License No. ME0043253 (Florida).

The current practice location address for Mjs Irrv Complex Trust is 3750 Us 27 N., Sebring, FL and can be reached out via phone at 863-382-4949 and via fax at 863-382-3811.

Location: 3750 Us 27 N., Sebring, FL, 33870-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588856306
Provider Name
Mjs Irrv Complex Trust
Credential
Provider Entity Type
Organization
Address
3750 Us 27 N., Sebring, FL, 33870-1690
Phone Number
863-382-4949
Fax Number
863-382-3811
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21429 01 FL VICTOR M SERALDE MCR UPIN
41214C 01 FL MEDICARE PROVIDER CIRILO SERALDE FOR FAIRMOUNT CLINIC
K2401 01 FL MEDICARE PART B GROUP PROVIDER
28115A 01 FL VICTOR SERALDE PROVIDER NUMBER FOR FAIRMOUNT CLINIC
10D0293128 01 CLIA GROUP NUMBER
54734 01 FL CIRILO M SERALDE MCR UPIN
259715200 01 FL MEDIPASS PROVIDER NUMBER GROUP
institution
Provider Business Practice Location Address Details
Address
3750 Us 27 N.
City
Sebring
State
Florida
Zip
33870-1690
Phone Number
863-382-4949
Fax Number
863-382-3811
person
Provider Business Mailing Address Details
Address
3750 Us 27 N.
City
Sebring
State
Florida
Zip
33870-1690
Phone Number
863-382-4949
Fax Number
863-382-3811
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME0043253 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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