MEDICARE: BIO GEN CORAL SPRINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1255270765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO GEN CORAL SPRINGS LLC

Provider Business Mailing Address
First Line	:	11050 WILES RD STE 102
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2104
Country	:	US
Telephone Number	:	954-406-4004
Fax Number	:

Provider Business Practice Location Address
First Line	:	11050 WILES RD STE 102
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2104
Country	:	US
Telephone Number	:	954-406-4004
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUSTAFA ZIA
Credential	:
Telephone Number	:	954-406-4004

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

Similar Medicare Providers

1629091574 — HOLLY BAILEY N.P.
Practice Location Address:

115 CORAL ST
SANTA CRUZ, CA
95060-2104

Practice Phone: 831-454-2080
Practice Fax: 831-454-3424

1821133695 — PUENTES NORTH
Practice Location Address:

115A CORAL ST
SANTA CRUZ, CA
95060-2104

Practice Phone: 831-454-5179
Practice Fax: 831-454-4663

1275756322 — JODI ANN NERELL MSW
Practice Location Address:

115C CORAL ST
SANTA CRUZ, CA
95060-2104

Practice Phone: 831-459-6644
Practice Fax:

1417170234 — VICTOR GERARDO GARCIA
Practice Location Address:

115C CORAL ST
SANTA CRUZ, CA
95060-2104

Practice Phone: 831-459-6644
Practice Fax:

1972709723 — MARTHA LEA ARREDONDO
Practice Location Address:

115A CORAL ST
SANTA CRUZ, CA
95060-2104

Practice Phone: 831-454-5196
Practice Fax: 831-454-3079

1487834388 — CHERYL COLLEEN RUBY
Practice Location Address:

115C CORAL ST
SANTA CRUZ, CA
95060-2104

Practice Phone: 831-459-6644
Practice Fax: 831-459-0813

Directions to “BIO GEN CORAL SPRINGS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.