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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6919 PARKWAY BLVD LAND O LAKES, FL 34639 US
Tel: 813-558-5000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | FL | PH16499 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2012484 | 01 | |
021491400 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin