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Organization
CORAM HEALTHCARE CORPORATION OF FLORIDA
Active
Organization
CORAM HEALTHCARE CORPORATION OF FLORIDA
Active
Parent organization
CORAM HEALTHCARE CORPORATION OF FLORIDA
Other names
Coram Neighborhood Ambulatory Infusion Suite
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE CORPORATION OF FLORIDA
Authorized official
CRAIG WEINERT (PRESIDENT)
(518) 320-0228
Entity
Organization
Contact information
Practice address
611 S HOWARD AVE, TAMPA, FL 33606-2412
(813) 639-4500
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(480) 765-5043
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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