Serenity'S Diabetic Primary Care

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME38107 Issued in FL

Legal business name

SERENITY'S DIABETIC PRIMARY CARE

Practice address

6000 Wolf Rd
Orlando, FL 32808-4259

Phone

(347) 455-8439

NPI assigned

Feb 20, 2016

Organization subpart

No

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

Authorized official

Name

Kimmitra Brown

Title

Owner/Founder

Phone

(347) 455-8439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455926400000",
    "number": "1649639576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 WOLF RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084259",
            "telephone_number": "347-455-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WOLF RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084259",
            "telephone_number": "347-455-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY'S DIABETIC PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-02-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIMMITRA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "347-455-8439"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME38107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Place Independent Living Center, LLC
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• Serenity Villa Alf LLC
• Serenity Women'S Health and Wellness LLC
• Serenity Years LLC
• Sergio W. Larach, M.D., PA
• Liubov Serifoglu
• Carmen Serio, LMT, NCTMB
• Christopher Anthony Serle, MD
• Samantha Sermarini, RN

• Health Service Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; 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.