GENESIS FAMILY PRACTICE, LLC
Marriage and Family Therapists at Saxon Blvd, Orange City, FL

License number
Florida OS8600
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JAY CROSSETTE CHANMUGAM D.O.
Title: OWNER
Phone: (386) 878-4137
Address
Address
1133 Saxon Blvd, Orange City, FL 32763
National Provider ID: 1023369204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Genesis Family Practice LLC

1133 Saxon Blvd, Orange City, FL 32763

Doing business as:
Genesis Family Practice
Registration:
Sep 24, 2012
Phone:
(386) 228-9700 (Phone)
State ID:
L12000121864
Business type:
Florida Limited Liability
Jay C. Chanmugam
Categories:
Certified & Registered Massage Therapists, Emergency & Critical Care Physicians & Surgeons, Physicians & Surgeons

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