Genesis Medical Wellness Center Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AHCA HCC8215 Issued in FL

Legal business name

GENESIS MEDICAL WELLNESS CENTER CORP.

Practice address

8356 SW 40TH St
Ste L
Miami, FL 33155-3356

Phone

(305) 228-6400

Fax

(305) 228-6500

NPI assigned

Mar 17, 2010

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria C Vital

Title

Precident

Phone

(305) 603-7800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1548584766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8356 SW 40TH ST",
            "address_2": "STE L",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553356",
            "telephone_number": "305-228-6400",
            "fax_number": "305-228-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8356 SW 40TH ST",
            "address_2": "STE L",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553356",
            "telephone_number": "305-228-6400",
            "fax_number": "305-228-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL WELLNESS CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRECIDENT",
        "authorized_official_telephone_number": "305-603-7800"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "AHCA HCC8215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Management Services LLC
• Genesis Medical Center Corp
• Genesis Medical Center Corp
• Genesis Medical Center Inc
• Genesis Medical Laboratory Corp
• Genesis of Florida Enterprises Corp
• Genesis Outpatient Rehabilitation
• Genesis Pharmacy Corp
• Genesis Rehab Corp
• Genesis Rehab Services

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.