# PAVILION INFUSION THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAVILION INFUSION THERAPY INC
- **Other names:** Baptist Infusion Therapy Bonneval
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447596853
- **Legal business name:** PAVILION INFUSION THERAPY INC
- **Authorized official:** CHRISTOPHER ROBERT DURKIN FHFMA (VP)
- **Authorized official phone:** (904) 202-5887

## Contact information

- **Practice address:** 6930 BONNEVAL RD, SUITE 3, JACKSONVILLE, FL 32216
- **Practice address phone:** (904) 202-5760
- **Practice address fax:** (904) 281-0217
- **Mailing address:** 1660 PRUDENTIAL DR STE 203, JACKSONVILLE, FL 32207-8185
- **Mailing address phone:** (904) 202-5887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313883 | FL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 1313883 | FL | — |

## Other

- **Enumeration date:** 12/13/2012
- **Last updated:** 06/26/2018