Individual
GENESIS MALDONADO-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 536-8830
(352) 536-8841
Mailing address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 916-2944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160474
FL
Other
Enumeration date
03/30/2020
Last updated
06/07/2023
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