Serenity of Central Florida P.a.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

ME 96757 Issued in FL

Legal business name

SERENITY OF CENTRAL FLORIDA P.A.

Practice address

1114 W Dixie Ave
Leesburg, FL 34748-6312

Phone

(352) 577-8197

Fax

(352) 577-8741

NPI assigned

Oct 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yasin Choudry, MD

Title

Owner

Phone

(352) 577-8197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Steven Saunders, PSY. D.

  • Clinical Psychologist
  • Leesburg, FL
  • NPI 1194705798
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1043546922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1840",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581840",
            "telephone_number": "352-577-8197",
            "fax_number": "352-577-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486312",
            "telephone_number": "352-577-8197",
            "fax_number": "352-577-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OF CENTRAL FLORIDA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "YASIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-577-8197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "ME 96757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Seltzer, MD
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• Serenity Choice Place, LLC
• Ronald James Seymour, PT
• Shady Lane Retirement Home
• Kinnar Rameshchandra Shah, DMD
• Shakti Narain MD PA
• Fouad M Shami, MD

• Prescribing (Medical) Psychologist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Prescribing (Medical) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.