Garcia, Genesis

Garcia, Genesis is an sole proprietor health care provider with primary practice located at 6807 W Commercial Blvd , Lauderhill FL 33319-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Garcia, Genesis can be contacted via phone (754) 444-4171.

Contact Information

Primary practice address
6807 W Commercial Blvd Lauderhill FL 33319-2116
Phone: (754) 444-4171
Fax: (754) 444-4167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X G620280995580 Florida

Profile Details

NPI number 1033881453
LBN Legal business name Garcia, Genesis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated Dec 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033881453 NPPES
Florida MEDICAID 108215000

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