MEDICARE: FLO-RONKE INC.

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
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841611274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLO-RONKE INC.

Provider Business Mailing Address
First Line	:	1513 E ELLICOTT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4915
Country	:	US
Telephone Number	:	813-238-6051
Fax Number	:	813-657-0763

Provider Business Practice Location Address
First Line	:	1513 E ELLICOTT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4915
Country	:	US
Telephone Number	:	813-238-6051
Fax Number	:	813-657-0763

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	FLORENCE AKINTOLA
Credential	:
Telephone Number	:	813-732-0990

Provider Enumeration Date	:	01/03/2014
Last Update Date	:	01/03/2014

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Directions to “FLO-RONKE INC. ” Practice Location

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