Organization
VICTORIA A GENSEMER D.P.M., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA A GENSEMER D.P.M. (PRESIDENT)
(561) 498-9888
Entity
Organization
Contact information
Practice address
5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL 33484-6542
(561) 498-9888
(561) 498-7626
Mailing address
5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL 33484-6542
(561) 498-9888
(561) 498-7626
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10861438
GHI
FL
01
—
1955132
CIGNA
FL
01
—
21293672428
BEECH STREET
FL
01
—
65884
BCBS
FL
01
—
9432177
PHCS
FL
Enumeration date
05/25/2006
Last updated
02/15/2008
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