Generationspan Healthcare LLC
NPI 1275963662ActiveOrganization· Nurse Practitioner, Gerontology· Tallahassee, FL
Nurse Practitioner, Gerontology in Tallahassee, Florida, registered in NPPES in November 2013. The authorized official on file is Florence Pedatin Bamgbose, PHD ARNP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275963662 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2013 |
| Last updated in NPPES | Nov 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 3314182 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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