Organization · Type 2 NPI

Serenity of Central Florida P.a.

Prescribing (Medical) Psychologist · Leesburg, FL

NPI number 1043546922 Active

Practice location

1114 W Dixie Ave
Leesburg, FL 34748-6312

Fax (352) 577-8741

Mailing address

PO Box 1840
Lady Lake, FL 32158-1840

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XME 96757 (FL)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

4 other providers at this address

About NPI 1043546922

Serenity of Central Florida P.a.'s National Provider Identifier is 1043546922, issued on Oct 27, 2009. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Leesburg, FL. The record was last updated on May 29, 2012.