MEDICARE: SERENITYCARESOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center		FL

General Provider Information

NPI Number	:	1689055261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITYCARESOLUTIONS

Provider Business Mailing Address
First Line	:	2637 E ATLANTIC BLVD # 32673
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4939
Country	:	US
Telephone Number	:	678-392-9366
Fax Number	:

Provider Business Practice Location Address
First Line	:	2637 E ATLANTIC BLVD # 32673
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4939
Country	:	US
Telephone Number	:	678-392-9366
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JAZMINE BUTCHER
Credential	:
Telephone Number	:	678-392-9366

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	06/09/2015

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Directions to “SERENITYCARESOLUTIONS ” Practice Location

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