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Contact Information

MD GENETIC LLC
1201 6TH AVE W STE 100-668
BRADENTON, FL34205-7400
 Phone: 941-202-2260
 Fax: 941-279-3154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Biochemical Genetics

207SG0207X
Indicates primary specialty

NPI Profile & details for MD GENETIC LLC · (Female)

NPI Number 1558161414
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2025
Last updated 07/03/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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