Genes Advice Holdings LLC
Nurse Practitioner in Tampa, FL. Organization (NPI-2).
NPI number1982135232
StatusActive
Last updated in NPPESMar 27, 2017
Details
- NPI
- 1982135232
- Entity type
- Organization (NPI-2)
- Legal business name
- Genes Advice Holdings LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2017
- Last updated
- Mar 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
4730 N Habana Ave Ste 204Tampa, FL 33614-7148
Phone 813-549-2134 · Fax 813-569-1759
Mailing address
4730 N Habana Ave Ste 204Tampa, FL 33614-7148
Phone 813-549-2134 · Fax 813-569-1759
Authorized official
Tracie Lawson
Chief Operating Officer
8135492134
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