Organization
DERMAGENESIS HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY RYAN JONES (ADMINISTRATOR / OWNER)
(305) 820-3386
Entity
Organization
Contact information
Practice address
365 W 49TH ST, HIALEAH, FL 33012-3715
(305) 820-3386
(305) 820-3388
Mailing address
365 W 49TH ST, HIALEAH, FL 33012-3715
(305) 820-3386
(305) 820-3388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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