Organization

Nugenesis Medical Llc

Clinic/Center in Winter Park, FL(View on Map)

Legal Business Name

Nugenesis Medical Llc

NPI Number

1467107441

NPI Type

Organization

Enumeration Date

02/17/2022

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2275 ALOMA AVE
2275 ALOMA AVE

City

Winter Park
Winter Park

State

FL
FL

Postal Code

32792-3303
32792-3303

Country

US
US

Telephone Number

(407) 743-2627
(407) 743-2627

Authorized Official

Name

Mrs. Teri Holmbeck

Title or Position

MANAGER

Telephone Number

(407) 743-2627

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

xx

Endpoint Description

Unknown

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

2275 Aloma AveWinter Park, FL327923303US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/17/2022

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