Organization
SERENITY COSMETIC SURGERY & REJUVENATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGI SHAKED (OWNER)
(305) 900-3459
Entity
Organization
Contact information
Practice address
815 SE 1ST AVE STE A, HALLANDALE BEACH, FL 33009-7102
(305) 900-3459
(305) 900-5372
Mailing address
815 SE 1ST AVE STE A, HALLANDALE BEACH, FL 33009-7102
(305) 900-3459
(305) 900-5372
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
SELF PAY
FL
Enumeration date
11/08/2019
Last updated
11/08/2019
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