Provider Demographics
NPI:1053068437
Name:INFINITY WELLNESS CORP
Entity Type:Organization
Organization Name:INFINITY WELLNESS CORP
Other - Org Name:INTERIM HEALTHCARE OF FORT LAUDERDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:954-323-4484
Mailing Address - Street 1:2021 E COMMERCIAL BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3769
Mailing Address - Country:US
Mailing Address - Phone:954-323-4484
Mailing Address - Fax:954-634-5695
Practice Address - Street 1:2021 E COMMERCIAL BLVD STE 308
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3769
Practice Address - Country:US
Practice Address - Phone:954-665-6417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health