Organization
GENESIS REGENERATIVE & RESTORATIVE MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SANDBORN MD (PHYSICIAN/OWNER)
(386) 866-9091
Entity
Organization
Contact information
Practice address
1893 N CLYDE MORRIS BLVD STE 120, DAYTONA BEACH, FL 32117-5536
(386) 866-9091
(904) 813-7156
Mailing address
1893 N CLYDE MORRIS BLVD STE 120, DAYTONA BEACH, FL 32117-5536
(386) 866-9091
(904) 813-7156
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
04/16/2024
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