| Serenity Behavioral Medicine Llc | |
|
1015 Us Highway 19 Holiday FL 34691-5636 | |
| (727) 935-1144 | |
| (727) 935-1133 |
| Full Name | Serenity Behavioral Medicine Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1015 Us Highway 19, Holiday, Florida |
| Authorized Official Name and Position | Mona Shah (OWNER) |
| Authorized Official Contact | 7274215145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Behavioral Medicine Llc 1015 Us Highway 19 Holiday FL 34691-5636 Ph: (727) 935-1144 | Serenity Behavioral Medicine Llc 1015 Us Highway 19 Holiday FL 34691-5636 Ph: (727) 935-1144 |
| NPI Number | 1104605484 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 2668829680 |
|---|---|
| Medicare Enrollment ID | O20231114000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104605484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mona Nandkishor Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083098206 PECOS PAC ID: 0941536833 Enrollment ID: I20190730004349 |
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