Organization
GENESIS MEDICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA SNEAD NURSE (PRESIDENT)
(386) 338-2072
Entity
Organization
Contact information
Practice address
30 SUNSET CV, FLAGLER BEACH, FL 32136-4006
(386) 338-2072
Mailing address
30 SUNSET CV, FLAGLER BEACH, FL 32136-4006
(386) 338-2072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PN5181900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598167504
MEDICARE
FL
Enumeration date
01/20/2016
Last updated
01/20/2016
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