Organization
INGENIOUS PERSONALIZED MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DANIEL SEGAL MD (CEO)
(888) 852-6672
Entity
Organization
Contact information
Practice address
500 APPLEYARD DRIVE TALLAHASSEE, FL 32304, TALLAHASSEE, FL 32304-2810
(786) 221-1734
(305) 891-4228
Mailing address
1065 NE 125TH STREET, SUITE 300, NORTH MIAMI, FL 33161-5833
(786) 221-4228
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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