Serenity Rose Mobile Spa Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

52241 Issued in FL

Legal business name

SERENITY ROSE MOBILE SPA INC

Doing business as

Serenity Rose Massage & Wellness

Practice address

7570 S Federal Hwy Ste 4
Lantana, FL 33462-6060

Phone

(561) 542-2130

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Damian Rose, LMT

Title

Ceo

Phone

(561) 602-8953

Specialties & licenses 1

Addresses

Other names 1

• Serenity Rose Massage & Wellness Doing business as

Locations

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1497237903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 S FEDERAL HWY STE 4",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334626060",
            "telephone_number": "561-542-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 S FEDERAL HWY STE 4",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334626060",
            "telephone_number": "561-542-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ROSE MOBILE SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-602-8953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "52241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Rose Massage & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Lantana, FL
• Providers in Lantana, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.