Provider Demographics
NPI:1376707380
Name:INFUCENTERS LLC
Entity Type:Organization
Organization Name:INFUCENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:POMIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-855-6970
Mailing Address - Street 1:9655 FLORIDA MINING BLVD W
Mailing Address - Street 2:SUITE 411
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-2031
Mailing Address - Country:US
Mailing Address - Phone:904-861-2510
Mailing Address - Fax:904-861-2525
Practice Address - Street 1:9655 FLORIDA MINING BLVD W
Practice Address - Street 2:SUITE 411
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-2031
Practice Address - Country:US
Practice Address - Phone:904-861-2510
Practice Address - Fax:904-861-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH23312261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy