Dr. Sergio G Moreira Jr., M.D.
Urology in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1790735918
StatusActive
Last updated in NPPESDec 23, 2024
Details
- NPI
- 1790735918
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sergio G Moreira Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2006
- Certification date
- Dec 23, 2024
- Last updated
- Dec 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | ME89888 | FL | Yes |
| 208800000X | Urology | M8184 | TX |
Other names
- Sergio G Moreira (Professional Name)
Practice location
320 Racetrack Rd Nw Ste 100cFort Walton Beach, FL 32547-1796
Phone 850-863-3463 · Fax 850-862-0188
Mailing address
320 Racetrack Rd Nw Ste 100cFort Walton Beach, FL 32547-1796
Phone 850-863-3463 · Fax 850-862-0188
Other practice locations
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Cocoa Beach, FL 32931-3585
Phone 321-868-5871
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