Genesys Durable Medical Equipment LLC
Durable Medical Equipment & Medical Supplies in Jacksonville, FL. Organization (NPI-2).
NPI number1790727477
StatusActive
Last updated in NPPESJun 15, 2011
Details
- NPI
- 1790727477
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesys Durable Medical Equipment LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Jun 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2264 | FL | Yes |
Practice location
960 Cesery BlvdJacksonville, FL 32211-5608
Phone 904-745-5121 · Fax 904-745-5339
Mailing address
960 Cesery BlvdJacksonville, FL 32211-5608
Phone 904-745-5421
Authorized official
Sonny U Ukpong
Owner /President
9047455121
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