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BALDOMERO LOPEZ STATE VETERANS NURSING HOME

Medical Equipment Supplier Yellow Pages

Land O Lakes, Florida

Provider NPI: 1700914496

Organization Information:
Organization Name:  BALDOMERO LOPEZ STATE VETERANS NURSING HOME


Practice Location:
6919 PARKWAY BLVD  LAND O LAKES, FL 34639 US
Tel: 813-558-5000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336L0003XSuppliers
Pharmacy
Long Term Care Pharmacy
FLPH16499

Other Provider Identifiers:

IssuerNumberStateType
PK201248401
021491400FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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