GENESIS GROUP OF FAMILY PRACTICES LLC

ORMOND BEACH, FL
NPI1215464094
Entity TypeOrganization
Authorized ContactJAY C CHANMUGAM
President
386-218-2353
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  os8600)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
GENESIS GROUP OF FAMILY PRACTICES LLC
800 S NOVA RD STE J
ORMOND BEACH, FL 32174-9048
Phone number: 386-218-2353
Mailing Address
GENESIS GROUP OF FAMILY PRACTICES LLC
1133 SAXON BLVD STE 100
ORANGE CITY, FL 32763-8425
Phone number: 386-218-2353
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