Organization
GENESIS MEDICAL CENTER CORP
Active
Other names
GENESIS MEDICAL CENTER CORP
Organization subpart
No
Provider details
NPI number
Authorized official
YARIANA GONZALEZ (OWNER)
(305) 518-7617
Entity
Organization
Contact information
Practice address
7171 CORAL WAY, MIAMI, FL 33155-1449
(305) 518-7617
Mailing address
7171 CORAL WAY, MIAMI, FL 33155-1449
(305) 518-7617
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88322741
MEDICAL OFFICE
FL
Enumeration date
08/08/2022
Last updated
08/08/2022
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