Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Biogenesis Medical Inc

Organization General Practice Physician · NPI 1568974293

Biogenesis Medical Inc is a General Practice Physician in Tampa, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2111 W Swann Ave Ste 104
Tampa, FL 33606-2478
Phone: (813) 253-5969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1568974293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ohara McKenna — President · (813) 253-5969
NPI enumeratedNovember 3, 2017
Last updated in NPPESNovember 3, 2017
Mailing address2111 W Swann Ave Ste 104, Tampa, FL 33606-2478

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