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Organization

JAZMIN SERRA

Active
Parent organization
AMAZING COMPANIONS
Other names
Amazing Companions
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMAZING COMPANIONS
Authorized official
DR. JAZMIN SERRA PHD (ADMINISTRATOR)
(321) 775-5685
Entity
Organization

Contact information

Practice address
160 INTERNATIONAL PKWY STE 100, LAKE MARY, FL 32746-5057
(321) 775-5685
(407) 386-3056
Mailing address
160 INTERNATIONAL PKWY STE 100, LAKE MARY, FL 32746-5057
(321) 775-5685
(407) 650-2699

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
233395
FL
261QD1600X
Developmental Disabilities Clinic/Center
233395
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022390100
FL
Enumeration date
04/26/2014
Last updated
02/20/2019
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