| Entity Name: | SERENITY MENTAL HEALTH SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jun 2024 (8 months ago) |
| Document Number: | L24000279694 |
| FEI/EIN Number | 99-3649664 |
| Address: | 3502 W TACON ST, TAMPA, FL 33629 |
| Mail Address: | 3502 W TACON ST, TAMPA, FL 33629 |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407690530 | 2024-06-24 | 2024-07-15 | 3502 W TACON ST, TAMPA, FL, 336297929, US | 3502 W TACON ST, TAMPA, FL, 336297929, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-488-1452 |
Authorized person
| Name | IRINA A VANGELOV |
| Role | APRN |
| Phone | 7274881452 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| Is Primary | No |
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VANGELOV, IRINA A | Agent | 3502 W TACON ST, TAMPA, FL 33629 |
| Name | Role | Address |
|---|---|---|
| VANGELOV, IRINA A | Manager | 3502 W TACON ST, TAMPA, FL 33629 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-20 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
