# GENESYS DURABLE MEDICAL EQUIPMENT LLC

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

## Provider details

- **NPI number:** 1790727477
- **Authorized official:** MR. SONNY U UKPONG SR. (OWNER /PRESIDENT)
- **Authorized official phone:** (904) 745-5121

## Contact information

- **Practice address:** 960 CESERY BLVD, JACKSONVILLE, FL 32211-5608
- **Practice address phone:** (904) 745-5121
- **Practice address fax:** (904) 745-5339
- **Mailing address:** 960 CESERY BLVD, JACKSONVILLE, FL 32211-5608
- **Mailing address phone:** (904) 745-5421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2264 | FL | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 06/15/2011