Provider Demographics
NPI:1316549066
Name:GENUINE HEALTH MANAGEMENT, LLC
Entity Type:Organization
Organization Name:GENUINE HEALTH MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:NINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-878-5505
Mailing Address - Street 1:806 S DOUGLAS RD STE 700
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2082
Mailing Address - Country:US
Mailing Address - Phone:786-878-5505
Mailing Address - Fax:786-552-9696
Practice Address - Street 1:806 S DOUGLAS RD STE 700
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2082
Practice Address - Country:US
Practice Address - Phone:786-878-5500
Practice Address - Fax:786-552-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization