| Genesis Medical Wellness Center Corp. | |
|
8356 Sw 40th St Ste L Miami FL 33155-3356 | |
| (305) 228-6400 | |
| (305) 228-6500 |
| Full Name | Genesis Medical Wellness Center Corp. |
|---|---|
| Speciality | General Practice |
| Location | 8356 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Maria C Vital (PRECIDENT) |
| Authorized Official Contact | 3056037800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Wellness Center Corp. 8356 Sw 40th St Ste L Miami FL 33155-3356 Ph: (305) 228-6400 | Genesis Medical Wellness Center Corp. 8356 Sw 40th St Ste L Miami FL 33155-3356 Ph: (305) 228-6400 |
| NPI Number | 1548584766 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548584766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | AHCA HCC8215 (Florida) | Primary |
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