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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENESIS FAMILY PRACTICE, LLC

Deactivated Organization

GENESIS FAMILY PRACTICE, LLC is a Family Medicine organization located in ORANGE CITY, Florida. NPI 1023369204 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · ORANGE CITY, FL

This NPI has been deactivated. The record was deactivated on April 9, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1023369204
Provider Type
Organization
NPI Issued
Sep 27, 2012 (5.5315068493151 yrs)
Last Updated
Nov 28, 2022
Deactivated
Apr 9, 2018
License
OS8600 (FL)

Practice Information

Address
1133 SAXON BLVD
ORANGE CITY, FL, 327638425
Browse FL providers · Browse ZIP 32763
Phone
3862289700
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Organizations in ORANGE CITY, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.