Organization
SERENITY OF CENTRAL FLORIDA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIN CHOUDRY MD (OWNER)
(352) 577-8197
Entity
Organization
Contact information
Practice address
1114 W DIXIE AVE, LEESBURG, FL 34748-6312
(352) 577-8197
(352) 577-8741
Mailing address
PO BOX 1840, LADY LAKE, FL 32158-1840
(352) 577-8197
(352) 577-8741
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME 96757
FL
Other
Enumeration date
10/27/2009
Last updated
05/29/2012
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