| Serenity Shift Wellness Center Inc | |
|
2450 Hollywood Blvd Ste 701 Hollywood FL 33020-6628 | |
| (786) 226-2679 | |
| (954) 416-7437 |
| Full Name | Serenity Shift Wellness Center Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2450 Hollywood Blvd Ste 701, Hollywood, Florida |
| Authorized Official Name and Position | Stephanie Corbo (APRN, OWNER) |
| Authorized Official Contact | 4696383162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Shift Wellness Center Inc 2450 Hollywood Blvd Ste 701 Hollywood FL 33020-6628 Ph: (786) 226-2679 | Serenity Shift Wellness Center Inc 2450 Hollywood Blvd Ste 701 Hollywood FL 33020-6628 Ph: (786) 226-2679 |
| NPI Number | 1669265815 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 11/03/2025 |
| Certification Date | 11/03/2025 |
| Medicare PECOS PAC ID | 0345743803 |
|---|---|
| Medicare Enrollment ID | O20250911000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669265815 | NPI | - | NPPES |
| Provider Name | Stephanie Monique Corbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265116461 PECOS PAC ID: 2163925629 Enrollment ID: I20250911000421 |
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