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Organization
GENESIS AMBULATORY MEDICAL CARE INC.
Active
Organization
GENESIS AMBULATORY MEDICAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLOMBIA PATINO (PRESIDENT)
(305) 227-8878
Entity
Organization
Contact information
Practice address
13780 SW 26TH ST, SUITE 205, MIAMI, FL 33175-6302
(305) 227-8878
Mailing address
13780 SW 26TH ST, SUITE 205, MIAMI, FL 33175-6302
(305) 227-8878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
06/03/2006
Last updated
12/04/2007
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