Provider Profile
SERENITY MEDICAL REHAB INC
Health Care Clinic
FACILITY PROFILE
Street Address
- 610 W WATERS AVE UNIT I & J
TAMPA, FL 33604-2951
County: Hillsborough - Phone: (813) 530-0447
Mailing Address
- PO BOX 15030
TAMPA, FL 33684-5030
County: Hillsborough - Phone: (813) 530-0447
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | CATHERINE M AREVALO | ||||||
| Administrator: | LIAMARELIS HURTADO HERNANDEZ | ||||||
| Owner/Licensee: | SERENITY MEDICAL REHAB INC | ||||||
| Owner/Licensee Since: | 8/2/2010 | ||||||
| |||||||
| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 9252 | ||||||
| AHCA Field Office: | 06 | ||||||
| License Number: | 8819 | ||||||
| Current License Effective: | 8/2/2024 | ||||||
| Current License Expires: | 8/1/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Fixed Location |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 9/12/2019 | 2020008478 | Fine | Survey | $1,000.00 | 4/27/2021 |
| 3/18/2019 | 2020008349 | Fine | Survey | $1,000.00 | 3/23/2021 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.