| Serendipity Health & Wellness Llc | |
|
3900 Broadway Ste A-14 Fort Myers FL 33901-8193 | |
| (941) 777-4542 | |
| (239) 579-6807 |
| Full Name | Serendipity Health & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3900 Broadway Ste A-14, Fort Myers, Florida |
| Authorized Official Name and Position | Marissa Roberts (OWNER/PROVIDER) |
| Authorized Official Contact | 9417774542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serendipity Health & Wellness Llc 3900 Broadway Ste B8 Fort Myers FL 33901-8193 Ph: (941) 777-4542 | Serendipity Health & Wellness Llc 3900 Broadway Ste A-14 Fort Myers FL 33901-8193 Ph: (941) 777-4542 |
| NPI Number | 1700462942 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 01/28/2024 |
| Medicare PECOS PAC ID | 4486063948 |
|---|---|
| Medicare Enrollment ID | O20210513000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700462942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Marissa Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306201520 PECOS PAC ID: 2062717606 Enrollment ID: I20170217001559 |
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