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Organization

GENESIS ADVANCED THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIELA FERNANDEZ (OWNER)
(561) 647-8425
Entity
Organization

Contact information

Practice address
5881 NW 151ST ST STE 203, MIAMI LAKES, FL 33014-2442
(561) 647-8425
Mailing address
5881 NW 151ST ST STE 203, MIAMI LAKES, FL 33014-2442
(561) 647-8425

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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