Organization
LAKE MARY SPINE & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANINA GENAO D.C. (CHIROPRACTOR)
(407) 942-3258
Entity
Organization
Contact information
Practice address
820 W LAKE MARY BLVD, 107, SANFORD, FL 32773-5946
(407) 942-3258
(407) 942-3316
Mailing address
820 W LAKE MARY BLVD, 107, SANFORD, FL 32773-5946
(407) 942-3258
(407) 942-3316
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH 10784
FL
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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