| Serene Medicine Llc | |
|
107 Seagrass Station Rd Bluffton SC 29910-9549 | |
| (843) 836-8200 | |
| Not Available |
| Full Name | Serene Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 Seagrass Station Rd, Bluffton, South Carolina |
| Authorized Official Name and Position | Lerissa Antonio (SOLE MEMBER) |
| Authorized Official Contact | 9122725549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Medicine Llc 1 Sounding Point Retreat Savannah GA 31411-2839 Ph: (912) 272-5549 | Serene Medicine Llc 107 Seagrass Station Rd Bluffton SC 29910-9549 Ph: (843) 836-8200 |
| NPI Number | 1629698956 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 3072943232 |
|---|---|
| Medicare Enrollment ID | O20200501000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629698956 | NPI | - | NPPES |
| 1730406778 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lerissa Ann Antonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730406778 PECOS PAC ID: 8820232218 Enrollment ID: I20200501000271 |
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