Provider Demographics
NPI:1962656744
Name:INFUCENTERS LLC
Entity Type:Organization
Organization Name:INFUCENTERS LLC
Other - Org Name:WELLSPRING / ST. PETE
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF 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 1:6600 66TH ST
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5032
Mailing Address - Country:US
Mailing Address - Phone:888-515-6366
Mailing Address - Fax:
Practice Address - Street 1:6600 66TH ST
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5032
Practice Address - Country:US
Practice Address - Phone:888-515-6366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy