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General NPI Number Information
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NPI Number | 1871469429
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Entity Type | Organization
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Legal Business Name | SERENA WELLNESS
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 14400 NW 77TH CT STE 103
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1590
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Country | US
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Telephone | 949-994-6708
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Fax | 949-994-6550
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Provider Business Mailing Address
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Address Line | 5254 NW 94TH DORAL PL
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City | DORAL
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State | FL
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Zip | 33178-2017
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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 | OWNER
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Name | MARIA SIERVO
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Credential |
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Telephone | 949-994-6708
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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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