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Organization
GENESIS MEDICAL SUPPLIES INC.
Active
Organization
GENESIS MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEINAD MAYMO (OWNER/DIRECTOR)
(786) 412-9227
Entity
Organization
Contact information
Practice address
4711 NW 79TH AVE, SUITE # 1 A, DORAL, FL 33166-5452
(786) 412-9227
(305) 863-7126
Mailing address
4711 NW 79TH AVE, SUITE # 1 A, DORAL, FL 33166-5452
(786) 412-9227
(305) 863-7126
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6024509
FL
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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