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General NPI Number Information
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NPI Number | 1275444200
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH MEDICAL CENTER CORP
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 900 W 49TH ST STE 236
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City | HIALEAH
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State | FL
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Zip | 33012-3443
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Country | US
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Telephone | 786-214-6896
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W 49TH ST STE 236
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City | HIALEAH
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State | FL
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Zip | 33012-3443
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Country | US
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Telephone | 786-214-6896
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YEINS GONZALEZ
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Credential |
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Telephone | 786-514-9471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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