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Organization

LAKE MARY SPINE & REHABILITATION CENTER

Active
Parent organization
LAKE MARY SPINE & REHABILITATION CENTER
Other names
Davenport Spine and Rehab Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKE MARY SPINE & REHABILITATION CENTER
Authorized official
YANINA GENAO DC (OWNER/DOCTOR)
(407) 942-3258
Entity
Organization

Contact information

Practice address
45677 HIGHWAY 27, DAVENPORT, FL 33897-4546
(407) 942-3258
(440) 794-2331
Mailing address
45677 HIGHWAY 27, DAVENPORT, FL 33897-4546
(407) 942-3258
(407) 942-3316

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/22/2019
Last updated
05/22/2019
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