Healthcare Provider Details

I. General information

NPI: 1003613688
Provider Name (Legal Business Name): ENSPIRE BEAUTY AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10100 W SAMPLE RD STE 300
CORAL SPRINGS FL
33065-3973
US

IV. Provider business mailing address

10100 W SAMPLE RD STE 300
CORAL SPRINGS FL
33065-3973
US

V. Phone/Fax

Practice location:
  • Phone: 954-338-1910
  • Fax: 954-338-2144
Mailing address:
  • Phone: 954-338-1910
  • Fax: 954-338-2144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. SERENA GARLANDE BEBE
Title or Position: CEO/FOUNDER
Credential: DNP, FNP-BC
Phone: 321-695-0624