Healthcare Provider Details

I. General information

NPI: 1154232122
Provider Name (Legal Business Name): SERENITY PEDIATRIC WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 ALAFAYA TRL STE 1005
OVIEDO FL
32765-9100
US

IV. Provider business mailing address

1351 ALAFAYA TRL STE 1005
OVIEDO FL
32765-9100
US

V. Phone/Fax

Practice location:
  • Phone: 321-323-7336
  • Fax: 321-516-8350
Mailing address:
  • Phone: 321-323-7336
  • Fax: 321-516-8350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IRISSA ROSARIO
Title or Position: OWNER
Credential: MD
Phone: 407-484-5241