Individual
GENESIS MARIANNE TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 FUTURES DR STE 104, ORLANDO, FL 32819-9096
(407) 730-7983
Mailing address
751 STAR MAGNOLIA DR, KISSIMMEE, FL 34744-4802
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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