GENOA HEALTHCARE, LLC
Medical Equipment Supplier Yellow Pages
St Petersburg, Florida
Provider NPI: 1518064351
Organization Information:Organization Name: GENOA HEALTHCARE, LLC
Practice Location:
4024 CENTRAL AVE ST PETERSBURG, FL 33711 US
Tel: 727-327-7262 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:
4024 CENTRAL AVE ST PETERSBURG, FL 33711 US
Tel: 727-327-7262 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | FL | PH22137 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
031186300 | FL | 05 | |
PK | 2007175 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin