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	11662	FL

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

General Provider Information

NPI Number	:	1972922177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLO-RONKE INC

Provider Business Mailing Address
First Line	:	1106 E RICHMERE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-8552
Country	:	US
Telephone Number	:	813-732-0990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 E RICHMERE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-8552
Country	:	US
Telephone Number	:	813-732-0990
Fax Number	:

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

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	04/15/2014

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Directions to “FLO-RONKE INC ” Practice Location

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