Genesis Medical Center Coral Springs, Inc. | |
3000 N University Dr Coral Springs FL 33065-5055 | |
(954) 753-0300 | |
(954) 345-9340 |
Full Name | Genesis Medical Center Coral Springs, Inc. |
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Speciality | Internal Medicine |
Location | 3000 N University Dr, Coral Springs, Florida |
Authorized Official Name and Position | Ajaib S. Mann (PRESIDENT) |
Authorized Official Contact | 9547530300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesis Medical Center Coral Springs, Inc. 3000 N University Dr Coral Springs FL 33065-5055 Ph: (954) 753-0300 | Genesis Medical Center Coral Springs, Inc. 3000 N University Dr Coral Springs FL 33065-5055 Ph: (954) 753-0300 |
NPI Number | 1942441936 |
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Provider Enumeration Date | 03/20/2009 |
Last Update Date | 07/13/2009 |
Medicare PECOS PAC ID | 9032261482 |
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Medicare Enrollment ID | O20090715000369 |
Identifier | Type | State | Issuer |
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1942441936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME66835 (Florida) | Primary |
Provider Name | Mukesh Wadhwa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306843982 PECOS PAC ID: 9335183433 Enrollment ID: I20050618000058 |
Provider Name | Ajaib S Mann |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033171277 PECOS PAC ID: 2961582333 Enrollment ID: I20080110000498 |
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