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General NPI Number Information
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NPI Number | 1487419347
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Entity Type | Organization
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Legal Business Name | SERENITY PRIMARY CARE MD LLC
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 5700 N FEDERAL HWY STE 2A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-2600
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Country | US
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Telephone | 954-562-2057
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Fax | 954-419-5681
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Provider Business Mailing Address
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Address Line | 1360 S OCEAN BLVD APT 2502
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. CORALEE D CAMARGO
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Credential | MD
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Telephone | 954-562-2057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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