Individual
GENEVIEVE KORNBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 S SEACREST BLVD STE 200, BOYNTON BEACH, FL 33435-7966
(561) 736-8200
(561) 736-4635
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 995-2879
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9111722
FL
Other
Enumeration date
10/17/2018
Last updated
03/23/2022
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