Organization
GENOMA MEDICAL GROUP, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITSEL CARDENAS RAMON APRN (VICE-PRESIDENT)
(305) 392-1264
Entity
Organization
Contact information
Practice address
7000 SW 97TH AVE STE 201, MIAMI, FL 33173-1492
(305) 392-1264
(305) 646-1756
Mailing address
7000 SW 97TH AVE STE 201, MIAMI, FL 33173-1492
(305) 392-1264
(305) 646-1756
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2021
Last updated
12/15/2021
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