# SERENITY DME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962903666
- **Authorized official:** KRISTA LEE BROCK (OWNER)
- **Authorized official phone:** (954) 702-5783

## Contact information

- **Practice address:** 111 N 2ND ST STE 101, FORT PIERCE, FL 34950
- **Practice address phone:** (772) 466-4818
- **Mailing address:** 500 NE SPANISH RIVER BLVD STE 202, BOCA RATON, FL 33431-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2018
- **Last updated:** 04/29/2019