Complete Serenity INC
Nurse Practitioner, Psych/Mental Health in Pompano Beach, FL. Organization (NPI-2).
NPI number1174092001
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1174092001
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Serenity INC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2018
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
721 E Atlantic BlvdPompano Beach, FL 33060-6345
Phone 954-783-8300 · Fax 954-783-8302
Mailing address
4225 Sw 185th AveMiramar, FL 33029-2777
Phone 954-783-8300 · Fax 954-783-8302
Other practice locations
4225 Sw 185th Ave
Miramar, FL 33029-2777
Miramar, FL 33029-2777
Phone 954-801-6346
Authorized official
Sharon Paulette Johnson-Hyatt
Owner Of Entity
9547838300
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