Organization
MED PHENIX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS GANUZA MD (MEDICAL DOCTOR OWNER)
(727) 375-7578
Entity
Organization
Contact information
Practice address
2020 SEVEN SPRINGS BLVD, STE B, NEW PORT RICHEY, FL 34655
(727) 375-7578
(727) 375-7568
Mailing address
2020 SEVEN SPRINGS BLVD, STE B, NEW PORT RICHEY, FL 34655
(727) 375-7578
(727) 375-7568
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
ME29235
FL
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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