# MED PHENIX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326095951
- **Authorized official:** DR. CARLOS GANUZA MD (MEDICAL DOCTOR OWNER)
- **Authorized official phone:** (727) 375-7578

## Contact information

- **Practice address:** 2020 SEVEN SPRINGS BLVD, STE B, NEW PORT RICHEY, FL 34655
- **Practice address phone:** (727) 375-7578
- **Practice address fax:** (727) 375-7568
- **Mailing address:** 2020 SEVEN SPRINGS BLVD, STE B, NEW PORT RICHEY, FL 34655
- **Mailing address phone:** (727) 375-7578
- **Mailing address fax:** (727) 375-7568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | ME29235 | FL | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 08/22/2020