Whalio Doctors

NPI 1326095951

Med Phenix INC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician New Port Richey, FL

Practice location

Address
2020 Seven Springs Blvd STE B, New Port Richey, FL 34655
Phone
(727) 375-7578
Fax
(727) 375-7568

Authorised official

Name
Carlos Ganuza
Title
Medical Doctor Owner
Phone
(727) 375-7578

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence ME29235 (FL)

Registry record

NPI
1326095951
Entity type
Organization
NPI issued
28 May 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.