Individual
ANELL GENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(305) 202-1945
Mailing address
5816 FALCONCREEK PL, LITHIA, FL 33547-5892
(305) 202-1945
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3298
VA
Other
Enumeration date
10/27/2015
Last updated
11/13/2024
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