NPIMap

Organization Active NPI

Serendipity Health & Wellness

  • Primary Care Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1649855735
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SERENDIPITY HEALTH & WELLNESS
Practice address
2662 Blue Cypress Lake CT
Cape Coral, FL 33909-2912
Phone
(941) 777-4542
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Jenny Braganza
Title
Credentialing Manager
Phone
(714) 855-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2662 Blue Cypress Lake CT
Cape Coral, FL 33909-2912

Mailing address

2662 Blue Cypress Lake CT
Cape Coral, FL 33909-2912
Phone (941) 777-4542

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1649855735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 BLUE CYPRESS LAKE CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092912",
            "telephone_number": "941-777-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 BLUE CYPRESS LAKE CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092912",
            "telephone_number": "941-777-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BRAGANZA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "714-855-9304"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.