Organization
SERENE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIO BRUCETA (CLINICAL DIRECTOR)
(954) 437-9070
Entity
Organization
Contact information
Practice address
8080 PASADENA BLVD STE B, PEMBROKE PINES, FL 33024-3537
(954) 437-9070
Mailing address
2900 W CYPRESS CREEK RD STE 8, FORT LAUDERDALE, FL 33309-1715
(954) 437-9070
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116261500
—
FL
Enumeration date
05/06/2024
Last updated
11/27/2024
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