Organization
GENESYS DURABLE MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SONNY U UKPONG SR. (OWNER /PRESIDENT)
(904) 745-5121
Entity
Organization
Contact information
Practice address
960 CESERY BLVD, JACKSONVILLE, FL 32211-5608
(904) 745-5121
(904) 745-5339
Mailing address
960 CESERY BLVD, JACKSONVILLE, FL 32211-5608
(904) 745-5421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000378800
—
FL
Enumeration date
06/10/2006
Last updated
06/15/2011
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