Organization
GEN-X CONSTRUCTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GOLDMAN (VICE PRESIDENT)
(561) 963-4490
Entity
Organization
Contact information
Practice address
7950 S MILITARY TRL STE 202, LAKE WORTH, FL 33463-8162
(561) 963-4490
Mailing address
7950 S MILITARY TRL STE 202, LAKE WORTH, FL 33463-8162
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CGC048555
FL
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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