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NPI Code Detail

MEDICARE: HOMEYS USA, LLC

MEDICARE: HOMEYS USA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of Service

General Provider Information

NPI Number : 1366221962
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMEYS USA, LLC
Provider Business Mailing Address
First Line : PO BOX 13169
Second Line :
City : TAMPA
State : FL
Zip : 33681-3169
Country : US
Telephone Number : 415-688-5737
Fax Number :
Provider Business Practice Location Address
First Line : 5002 S MANHATTAN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-3416
Country : US
Telephone Number : 813-444-2101
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : MR. DOMM HOLLAND
Credential :
Telephone Number : 415-688-5737
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/25/2023

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Directions to “HOMEYS USA, LLC ” Practice Location

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