| Serenity Behavioral Health Llc | |
|
2303 Hollywood Blvd Suite 12 Hollywood FL 33020-6711 | |
| (954) 367-7944 | |
| (954) 374-8311 |
| Full Name | Serenity Behavioral Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2303 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Salvatore Palermo (MANAGER) |
| Authorized Official Contact | 9543677944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Behavioral Health Llc 2303 Hollywood Blvd Suite 12 Hollywood FL 33020-6711 Ph: (954) 367-7944 | Serenity Behavioral Health Llc 2303 Hollywood Blvd Suite 12 Hollywood FL 33020-6711 Ph: (954) 367-7944 |
| NPI Number | 1023365624 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Medicare PECOS PAC ID | 1557597234 |
|---|---|
| Medicare Enrollment ID | O20131203000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023365624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | ME99606 (Florida) | Primary |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
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