Provider Demographics
NPI:1952095820
Name:FLORIDA INFUSION CENTERS, LLC
Entity Type:Organization
Organization Name:FLORIDA INFUSION CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAGMOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VIROJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-929-6903
Mailing Address - Street 1:9542 SHEPARD PL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6420
Mailing Address - Country:US
Mailing Address - Phone:561-929-6903
Mailing Address - Fax:561-584-6222
Practice Address - Street 1:4336 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5718
Practice Address - Country:US
Practice Address - Phone:561-929-6903
Practice Address - Fax:561-584-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty