Organization
SERENITY'S DIABETIC PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMMITRA BROWN (OWNER/FOUNDER)
(347) 455-8439
Entity
Organization
Contact information
Practice address
6000 WOLF RD, ORLANDO, FL 32808-4259
(347) 455-8439
Mailing address
6000 WOLF RD, ORLANDO, FL 32808-4259
(347) 455-8439
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME38107
FL
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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