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SERENITY ALTERNATIVE HEALTHCARE & ACUPUNCTURE CENTER NPI 1568966414


NPI Information

NPI: 1568966414
Provider Name: SERENITY ALTERNATIVE HEALTHCARE & ACUPUNCTURE CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2227076

Address:
1009 SW MAIN BLVD STE 110
LAKE CITY, FL
ZIP 32025
Phone: (386) 628-1088
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SERENITY ALTERNATIVE HEALTHCARE & ACUPUNCTURE CENTER is a clinic center in Lake City, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SERENITY ALTERNATIVE HEALTHCARE & ACUPUNCTURE CENTER NPI is 1568966414. The provider is registered as an organization entity type.

The provider's business location address is:

1009 SW MAIN BLVD STE 110
LAKE CITY, FL
ZIP 32025-784
Phone: (386) 628-1088

The provider's authorized official is John Raymond Cormier .
The authorized official title is Owner and has the following contact phone number (386) 628-1088.

The CLIA number assigned to this NPI record is 10D2227076 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.


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
1261Q00000XClinic/CenterL18000033338FLORIDAYes

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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