Provider Demographics
NPI:1083928527
Name:GEROCARE CONSULTING LLC
Entity Type:Organization
Organization Name:GEROCARE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER /OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INYENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:UMOREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-286-7645
Mailing Address - Street 1:17332 GARDEN HEATH CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8089
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17332 GARDEN HEATH CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-8089
Practice Address - Country:US
Practice Address - Phone:813-412-3421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1050372084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty