SERENITY OF CENTRAL FLORIDA P.A.
NPI 1043546922
Psychologist - Prescribing (Medical) in Leesburg, FL

Active since October 27, 2009
1114 W DIXIE AVE, LEESBURG, FL 34748(352) 577-8197(352) 577-8741 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Serenity Of Central Florida P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY OF CENTRAL FLORIDA P.A. (NPI 1043546922) is a healthcare organization registered as a prescribing (medical) in Leesburg, Florida and active in the NPI registry since October 2009. The organization lists Yasin Choudry, Owner, as its authorized official.

NPPES Registry Identity

NPI1043546922
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameSERENITY OF CENTRAL FLORIDA P.A.
Location Address1114 W DIXIE AVELeesburg, FL 34748-6312
Mailing AddressPo Box 1840Lady Lake, FL 32158-1840 · (352) 577-8197 · Fax (352) 577-8741
Fax(352) 577-8741
Organization SubpartNo
Authorized OfficialYasin ChoudryOwner · (352) 577-8197
Enumeration DateOctober 27, 2009
Last NPPES UpdateMay 29, 2012
NPI 1043546922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License Licensed in FL · ME 96757
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
1114 W DIXIE AVE, Leesburg, FL 34748

Other Identifiers 1

Medicare UPINDF476AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1114 W DIXIE AVE
LEESBURG, FL 34748
Marriage & Family Therapist
1114 W DIXIE AVE
LEESBURG, FL 34748
Psychologist (Clinical)
1114 W DIXIE AVE
LEESBURG, FL 34748
Psychologist
1114 W DIXIE AVE
LEESBURG, FL 34748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Of Central Florida P.A.'s NPI number?

The NPI number for Serenity Of Central Florida P.A. is 1043546922. It was assigned to this organization in the NPPES registry on October 27, 2009.

Where is Serenity Of Central Florida P.A. located?

Serenity Of Central Florida P.A. is located at 1114 W Dixie Ave, Leesburg, FL 34748. The listed phone number is (352) 577-8197.

What is Serenity Of Central Florida P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Serenity Of Central Florida P.A. was last updated on May 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.