Serenity Primary Care Md Llc | |
5700 N Federal Hwy Ste 2a Fort Lauderdale FL 33308-2600 | |
(954) 562-2057 | |
(954) 419-5681 |
Full Name | Serenity Primary Care Md Llc |
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Speciality | Internal Medicine |
Location | 5700 N Federal Hwy Ste 2a, Fort Lauderdale, Florida |
Authorized Official Name and Position | Coralee D Camargo (MD) |
Authorized Official Contact | 9545622057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity Primary Care Md Llc 1360 S Ocean Blvd Apt 2502 Pompano Beach FL 33062-7150 Ph: () - | Serenity Primary Care Md Llc 5700 N Federal Hwy Ste 2a Fort Lauderdale FL 33308-2600 Ph: (954) 562-2057 |
NPI Number | 1487419347 |
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Provider Enumeration Date | 02/19/2024 |
Last Update Date | 10/21/2024 |
Medicare PECOS PAC ID | 6204271935 |
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Medicare Enrollment ID | O20240304002032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487419347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Coralee D Camargo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730372715 PECOS PAC ID: 3971660333 Enrollment ID: I20090330000485 |
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