Genesis Brain Institute Llc | |
3030 N Rocky Point Dr W Ste 665 Tampa FL 33607-5906 | |
(727) 784-8600 | |
Not Available |
Full Name | Genesis Brain Institute Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 3030 N Rocky Point Dr W Ste 665, Tampa, Florida |
Authorized Official Name and Position | Renee D Kelly (ADMINISTRATOR) |
Authorized Official Contact | 7277848600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis Brain Institute Llc 3030 N Rocky Point Dr W Ste 665 Tampa FL 33607-5906 Ph: (727) 784-8600 | Genesis Brain Institute Llc 3030 N Rocky Point Dr W Ste 665 Tampa FL 33607-5906 Ph: (727) 784-8600 |
NPI Number | 1104547322 |
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Provider Enumeration Date | 09/06/2022 |
Last Update Date | 09/06/2022 |
Identifier | Type | State | Issuer |
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1104547322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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