NPI 1669141230
Ingenious Personalized Medicine, LLC
Practice location
- Address
- 500 Appleyard Drive Tallahassee, Fl 32304, Tallahassee, FL 32304-2810
- Phone
- (786) 221-1734
- Fax
- (305) 891-4228
- Mailing address
- 1065 NE 125th Street Suite 300, North Miami, FL 33161-5833
Authorised official
- Name
- Scott Daniel Segal
- Title
- Ceo
- Phone
- (888) 852-6672
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1669141230
- Entity type
- Organization
- NPI issued
- 8 Sep 2021
- Record last updated
- 8 Sep 2021
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.