Organization
BIOGENESIS MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OHARA MCKENNA (PRESIDENT)
(813) 253-5969
Entity
Organization
Contact information
Practice address
2111 W SWANN AVE STE 104, TAMPA, FL 33606-2478
(813) 253-5969
Mailing address
2111 W SWANN AVE STE 104, TAMPA, FL 33606-2478
(813) 253-5969
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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