GENESIS FAMILY PRACTICE LLC
Suppliers at Saxon Blvd, Orange City, FL

License number
Florida OS8600
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: VP OF OPERATIONS
Phone: (858) 964-1506
Address
Address 2
1133 Saxon Blvd, Orange City, FL 32763
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1326462243
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GENESIS FAMILY PRACTICE LLC at bizstanding.com

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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