Provider Demographics
NPI:1336696640
Name:GENEVE HEALTHCARE CORP
Entity Type:Organization
Organization Name:GENEVE HEALTHCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN-MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GENEVE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-655-6596
Mailing Address - Street 1:2675 TREANOR TER
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6460
Mailing Address - Country:US
Mailing Address - Phone:954-655-6596
Mailing Address - Fax:561-333-7325
Practice Address - Street 1:2675 TREANOR TER
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6460
Practice Address - Country:US
Practice Address - Phone:954-655-6596
Practice Address - Fax:561-333-7325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care