Serenity Of Central Florida P.a. | |
1114 W Dixie Ave Leesburg FL 34748-6312 | |
(352) 577-8197 | |
(352) 577-8741 |
Full Name | Serenity Of Central Florida P.a. |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 1114 W Dixie Ave, Leesburg, Florida |
Authorized Official Name and Position | Yasin Choudry (OWNER) |
Authorized Official Contact | 3525778197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Of Central Florida P.a. Po Box 1840 Lady Lake FL 32158-1840 Ph: (352) 577-8197 | Serenity Of Central Florida P.a. 1114 W Dixie Ave Leesburg FL 34748-6312 Ph: (352) 577-8197 |
NPI Number | 1043546922 |
---|---|
Provider Enumeration Date | 10/27/2009 |
Last Update Date | 05/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043546922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | ME 96757 (Florida) | Primary |
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