| 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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