OrganizationNova Diagnostics CorpGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address4019 W Waters Ave, Suite A, Tampa, FL 33614-1949(786) 205-3186PECOS EnrollmentBased on the most recent information from CMS, provider Nova Diagnostics Corp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1811435696Provider TypeOrganizationFull NameNova Diagnostics CorpSubpartNoEnumeration Date2/1/2017Last Updated2/1/2017Contact InformationPractice LocationPractice Address4019 W Waters Ave, Suite A, Tampa, FL 33614-1949Phone(786) 205-3186FaxUnlisted FaxMailing LocationMailing Address4019 W Waters Ave, Suite A, Tampa, FL 33614-1949Phone(786) 205-3186FaxUnlisted FaxAuthorized OfficialNameGuerra, Antonio (Owner)Phone(786) 205-3186Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer