Genesis Family Practice, Llc

NPI 1023369204 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1023369204
Enumeration Date 09/27/2012
Last Updated 01/28/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JAY CROSSETTE JAY
Position OWNER
Phone (386) 878-4137
Fax (386) 878-4293
Practice Location
1133 SAXON BLVD
ORANGE CITY FL, 32763-8425, US
Phone (386) 878-4137
Fax (386) 878-4293
Business Location
1133 SAXON BLVD
ORANGE CITY FL, 32763-8425, US
Phone (386) 878-4137
Fax (386) 878-4293
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Genesis Family Practice, Llc NPI is 1023369204, taxonomy code is 291U00000X Genesis Family Practice, Llc physically located at 1133 Saxon Blvd, Orange City FL, 32763-8425. NPI Number 1033115704 has the healthcare provider type.

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1023369204 NPI number is provided on an as is basis without warranty of any kind. 1023369204 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Family Practice, Llc are for informational purposes only.