Provider Demographics
NPI:1467133975
Name:SPECIALTY INFUSIONS FL CORP
Entity Type:Organization
Organization Name:SPECIALTY INFUSIONS FL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:WESTLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:NIRENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-465-7500
Mailing Address - Street 1:PO BOX 211018
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-7018
Mailing Address - Country:US
Mailing Address - Phone:407-465-7500
Mailing Address - Fax:407-465-4900
Practice Address - Street 1:1809 S DIVISION AVE STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-4729
Practice Address - Country:US
Practice Address - Phone:407-465-7500
Practice Address - Fax:407-465-7900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy