Provider Demographics
NPI:1639890528
Name:SPECIALIZED INFUSIONS LLC
Entity Type:Organization
Organization Name:SPECIALIZED INFUSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SANAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHAREEF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:904-420-7903
Mailing Address - Street 1:52 TUSCAN WAY STE 202 #265
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:280 BUSINESS PARK CIR STE 406
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-8836
Practice Address - Country:US
Practice Address - Phone:904-420-7903
Practice Address - Fax:904-663-0273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty