# INFECTIOUS DISEASE MANAGEMENT INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669380614
- **Authorized official:** ERIC JARQUIN (FINANCIAL CONTROLLER)
- **Authorized official phone:** (954) 651-8332

## Contact information

- **Practice address:** 2640 COLD SPRING RD, INDIANAPOLIS, IN 46222-2272
- **Practice address phone:** (317) 923-1518
- **Mailing address:** 701 N FEDERAL HWY STE 501, HALLANDALE BEACH, FL 33009-2467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2026
- **Last updated:** 08/31/2026