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1104547322
GENESIS BRAIN INSTITUTE LLC
TAMPA, FL
NPI
1104547322
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Entity Type
Organization
Authorized Contact
RENEE D KELLY
Administrator
727-784-8600
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
GENESIS BRAIN INSTITUTE LLC
3030 N ROCKY POINT DR W STE 665
TAMPA, FL 33607-5906
Phone number: 727-784-8600
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Mailing Address
GENESIS BRAIN INSTITUTE LLC
3030 N ROCKY POINT DR W STE 665
TAMPA, FL 33607-5906
Phone number: 727-784-8600
Copy
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