Provider Demographics
NPI:1215080742
Name:GENEVIEVES INVESTMENT INC
Entity type:Organization
Organization Name:GENEVIEVES INVESTMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:CORNETA
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:239-745-1631
Mailing Address - Street 1:3488 GASPARILLA ST
Mailing Address - Street 2:
Mailing Address - City:ST JAMES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33956-2540
Mailing Address - Country:US
Mailing Address - Phone:239-745-1631
Mailing Address - Fax:239-282-2108
Practice Address - Street 1:3488 GASPARILLA ST
Practice Address - Street 2:
Practice Address - City:ST JAMES CITY
Practice Address - State:FL
Practice Address - Zip Code:33956-2540
Practice Address - Country:US
Practice Address - Phone:239-745-1631
Practice Address - Fax:239-282-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7166225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1114096229OtherINDIVIDUAL