Provider Demographics
NPI:1366674046
Name:SERAFINI, SISTO P (DO)
Entity type:Individual
Prefix:DR
First Name:SISTO
Middle Name:P
Last Name:SERAFINI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:SISTO
Other - Middle Name:P
Other - Last Name:SERAFINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:8246 RIVER COUNTRY DR.
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2101
Mailing Address - Country:US
Mailing Address - Phone:352-684-8637
Mailing Address - Fax:352-684-8638
Practice Address - Street 1:8246 RIVER COUNTRY DR.
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2101
Practice Address - Country:US
Practice Address - Phone:352-684-8637
Practice Address - Fax:352-684-8638
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL591273247OtherMULTIPLAN AND PHCS
FL8482165OtherCIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
FL14LS1OtherBCBS BLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE AND TRADITIONAL BCBS
FL591273247OtherUHC EMPIRE PLAN
FL006251800Medicaid
3996398OtherMAIL HANDLERS BENEFIT PLAN (MHBP)
FL9963822OtherAETNA, PPO, HMO, EPO, MANAGED CHOICE, MEDICARE HMO/PPO
FL2447668OtherFIRST HEALTH, GROUP HEALTH AND COVENTRY NATIONAL NETWORK
FL3465292OtherUHC COMMERCIAL AND MEDICARE PLANS
FL357553OtherAVMED
FL14LS1OtherBCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE BCBS PPO/HMO, GO BLUE
FL14LS1OtherOUT OF STATE BLUE CROSS BLUE SHIELD
FL591273247OtherMULTIPLAN, PHCS, PHCS SAVILITY, BEECH
FL3465292OtherUHC COMMERCIAL AND MEDICARE PLANS
FL3465292OtherUHC COMMERCIAL AND MEDICARE PLANS