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General NPI Number Information
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NPI Number | 1326899246
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Entity Type | Organization
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Legal Business Name | SERENITY PSYCHIATRIC AND MEDICAL CARE CENTER
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 1488 LEITRIM LOOP
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City | APOPKA
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State | FL
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Zip | 32703-8324
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Country | US
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Telephone | 407-467-0487
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Fax |
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Provider Business Mailing Address
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Address Line | 1488 LEITRIM LOOP
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City | APOPKA
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State | FL
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Zip | 32703-8324
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Country | US
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Telephone | 904-258-1726
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. CARTHIA JOACHIM
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Credential | DPN
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Telephone | 904-258-1726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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