MEDICARE: AC GENETICS 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629466867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AC GENETICS LLC

Provider Business Mailing Address
First Line	:	5220 HOOD RD
Second Line	:	#101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-721-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5220 HOOD RD
Second Line	:	#101
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-721-8800
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MARC CHIURATO
Credential	:
Telephone Number	:	561-578-8600

Provider Enumeration Date	:	12/22/2014
Last Update Date	:	12/22/2014

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