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Organization
EXTREME INFUSED MEDICAL PLUS
Active
Organization
EXTREME INFUSED MEDICAL PLUS
Active
Other names
Coast to Coast Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NIKALINA LELIEA DUNDAS APRN FNP C (OWNER PROVIDER)
(352) 220-3873
Entity
Organization
Contact information
Practice address
11871 ILLINOIS ST, DUNNELLON, FL 34431-6503
(352) 220-3873
(352) 517-7088
Mailing address
11871 ILLINOIS ST, DUNNELLON, FL 34431-6503
(352) 220-3873
(352) 517-7088
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2022
Last updated
09/02/2025
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