Genesys Durable Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2264 Issued in FL

Legal business name

GENESYS DURABLE MEDICAL EQUIPMENT LLC

Practice address

960 Cesery Blvd
Jacksonville, FL 32211-5608

Phone

(904) 745-5121

Fax

(904) 745-5339

NPI assigned

Jun 10, 2006

Organization subpart

No

Name

Mr. Sonny U Ukpong Sr.

Title

Owner /President

Phone

(904) 745-5121

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2011.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1790727477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115608",
            "telephone_number": "904-745-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115608",
            "telephone_number": "904-745-5121",
            "fax_number": "904-745-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "UKPONG",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "904-745-5121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000378800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gentle Care Podiatry, LLC

• All providers in Jacksonville, FL
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.