Organization
NUGENESIS MEDICAL LLC
Active
Organization
NUGENESIS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI HOLMBECK PA-C (MANAGER)
(407) 743-2627
Entity
Organization
Contact information
Practice address
2275 ALOMA AVE, WINTER PARK, FL 32792-3303
(407) 743-2627
Mailing address
2275 ALOMA AVE, WINTER PARK, FL 32792-3303
(407) 743-2627
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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