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SERENITY SOUTH LLC NPI 1164178513


NPI Information

NPI: 1164178513
Provider Name: SERENITY SOUTH LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
25 HARRISON AVE
PANAMA CITY, FL
ZIP 32401
Phone: (850) 257-5420
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SERENITY SOUTH LLC is a massage therapist in Panama City, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. SERENITY SOUTH LLC NPI is 1164178513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 HARRISON AVE
PANAMA CITY, FL
ZIP 32401-723
Phone: (850) 257-5420

The provider's authorized official is Josh Brannon .
The authorized official title is Owner and has the following contact phone number (850) 832-3959.

The enumeration date for this NPI number is 2/24/2022 and was last updated on 2/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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