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Contact Information

GENESIS
5214 GOSHAWK DR
MILTON, FL32570-5020
 Phone: 850-776-8448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for GENESIS

NPI # 1629336359
LBN Legal business name GENESIS
Authorized official DONNA CAVENER - (RESPIRATORY THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2012
Last updated 05/01/2012 - About 14 years ago
Identifiers
FL License # TT3185
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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