Serge Mistivar, D.O

NPI #1609080126 in Immokalee, Florida

Provider Information

NPI Number: 1609080126
Entity Type: Individual
Name: Serge Mistivar, D.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O
Enumeration Date: May 10, 2007
Last Updated: Jan 7, 2015

Practice Location

Address: 1454 MADISON AVE W
City: Immokalee
State: Florida
ZIP Code: 34142-2200
Phone: (239) 658-3064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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