Individual
ERIC J. GENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-8311
(352) 622-5771
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 622-5771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9180313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004514200
—
FL
01
—
Y09UX
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
12/22/2011
Last updated
08/21/2012
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