Organization
GENESIS WOUND CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYELIN ALONSO (OWNER)
(305) 603-8410
Entity
Organization
Contact information
Practice address
4995 NW 72ND AVE STE 406, MIAMI, FL 33166-5643
(305) 603-8410
(786) 431-5976
Mailing address
4995 NW 72ND AVE STE 406, MIAMI, FL 33166-5643
(305) 603-8410
(786) 431-5976
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/16/2021
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