Provider Demographics
NPI:1568696623
Name:AMBULATORY INFUSION SPECIALIST, LLC.
Entity Type:Organization
Organization Name:AMBULATORY INFUSION SPECIALIST, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRUMBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:CMS
Authorized Official - Phone:866-778-8255
Mailing Address - Street 1:1332 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-3730
Mailing Address - Country:US
Mailing Address - Phone:866-778-8255
Mailing Address - Fax:866-398-2988
Practice Address - Street 1:1332 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-3730
Practice Address - Country:US
Practice Address - Phone:866-778-8255
Practice Address - Fax:866-398-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy