Provider Demographics
NPI:1932641446
Name:WEST FLORIDA HEALTH HOME INFUSION LLC
Entity Type:Organization
Organization Name:WEST FLORIDA HEALTH HOME INFUSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT WEST FLORIDA HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PERNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-605-4690
Mailing Address - Street 1:1 TAMPA GENERAL CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3571
Mailing Address - Country:US
Mailing Address - Phone:813-803-4024
Mailing Address - Fax:813-803-4020
Practice Address - Street 1:11461 N US HIGHWAY 301
Practice Address - Street 2:STE 105
Practice Address - City:THONOTOSASSA
Practice Address - State:FL
Practice Address - Zip Code:33592-3541
Practice Address - Country:US
Practice Address - Phone:813-803-4024
Practice Address - Fax:813-803-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition