| Genesis Milestones Inc | |
|
133 Se 29th Ter Cape Coral FL 33904-3424 | |
| (239) 771-0583 | |
| Not Available |
| Full Name | Genesis Milestones Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 133 Se 29th Ter, Cape Coral, Florida |
| Authorized Official Name and Position | Genesis Moreno (OWNER / PRESIDENT) |
| Authorized Official Contact | 2397710583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Milestones Inc 133 Se 29th Ter Cape Coral FL 33904-3424 Ph: (239) 771-0583 | Genesis Milestones Inc 133 Se 29th Ter Cape Coral FL 33904-3424 Ph: (239) 771-0583 |
| NPI Number | 1750975082 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 02/26/2021 |
| Certification Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750975082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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