Serenity Primary Care MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERENITY PRIMARY CARE MD LLC

Practice address

5700 N Federal Hwy Ste 2a
Fort Lauderdale, FL 33308-2600

Phone

(954) 562-2057

Fax

(954) 419-5681

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Coralee D Camargo, MDNPI 1730372715

Title

MD

Phone

(954) 562-2057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Coralee Daisy Camargo, MD

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1730372715
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1487419347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S OCEAN BLVD APT 2502",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY STE 2A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-562-2057",
            "fax_number": "954-419-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PRIMARY CARE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "CAMARGO",
        "authorized_official_first_name": "CORALEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-562-2057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Defne Senturk
• Abigail McPhillips Serda, MD
• Michelle Morese Serda
• Svetlana Serebryanaya, NP
• Leslie Blair Serena, LCSW
• Serenity Space Therapy LLC
• Richard Dominick Serianni, DPT
• Serinus Health Inc
• Serinus Medcare PA
• Nicholas Joseph Serniak III, M.D.

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.