Provider Demographics
NPI:1114562873
Name:ANOVA HEALTHCARE LLC
Entity Type:Organization
Organization Name:ANOVA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAMLESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DARJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-841-9216
Mailing Address - Street 1:10329 CROSS CREEK BLVD STE N
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2994
Mailing Address - Country:US
Mailing Address - Phone:813-841-9216
Mailing Address - Fax:
Practice Address - Street 1:10329 CROSS CREEK BLVD STE N
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2994
Practice Address - Country:US
Practice Address - Phone:813-841-9216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies