# GENOA HEALTHCARE OF FL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487665980
- **Authorized official:** KEVIN MARTYN (PRESIDENT)
- **Authorized official phone:** (753) 218-0862

## Contact information

- **Practice address:** 1437 S BELCHER RD, CLEARWATER, FL 33764-2829
- **Practice address phone:** (727) 533-9073
- **Practice address fax:** (727) 533-9184
- **Mailing address:** 510 EASTERN ST, AUBUURN, WA 98002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | PH22102 | FL | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/11/2025