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Serge Mistivar, DO
Family Medicine Physician in Immokalee, Florida
NPI 1609080126

Serge Mistivar is a Family Medicine Physician based in Immokalee, FL. Serge Mistivar practices in Immokalee, FL and has the professional credentials of DO. The NPI Number for Serge Mistivar is 1609080126 and holds a License No. 064865 (Florida).

The current practice location address for Serge Mistivar is 1454 Madison Ave W, Immokalee, FL and can be reached out via phone at 239-658-3064 and via fax at 239-658-3175.

Location: 1454 Madison Ave W, Immokalee, FL, 34142-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609080126
Provider Name
Serge Mistivar
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1454 Madison Ave W, Immokalee, FL, 34142-2200
Phone Number
239-658-3064
Fax Number
239-658-3175
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
064865 01 GA PHYSICIAN LICENSE
DO.1242 01 AL ALABAMA
OS 9898 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1454 Madison Ave W
City
Immokalee
State
Florida
Zip
34142-2200
Phone Number
239-658-3064
Fax Number
239-658-3175
person
Provider Business Mailing Address Details
Address
1454 Madison Ave W
City
Immokalee
State
Florida
Zip
34142-2200
Phone Number
239-658-3064
Fax Number
239-658-3175
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
064865 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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