NPIMap

Organization Active NPI

Serenity Plus Health Services LLC

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1770934119
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME115161 Issued in FL
Legal business name
SERENITY PLUS HEALTH SERVICES LLC
Practice address
441 NW 188TH Ter
Pembroke Pines, FL 33029-3297
Phone
(305) 319-1521
Fax
(954) 399-8507
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Josenie Desamour, MDNPI 1144402538
Title
President
Phone
(305) 319-1521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME115161 FL Primary

Addresses

Primary practice location

441 NW 188TH Ter
Pembroke Pines, FL 33029-3297

Mailing address

441 NW 188TH Ter
Pembroke Pines, FL 33029-3297
Phone (305) 319-1521

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1770934119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW 188TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293297",
            "telephone_number": "305-319-1521",
            "fax_number": "954-399-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW 188TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293297",
            "telephone_number": "305-319-1521",
            "fax_number": "954-399-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PLUS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "DESAMOUR",
        "authorized_official_first_name": "JOSENIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-319-1521",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.