# CORAM HEALTHCARE CORPORATION OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORAM HEALTHCARE CORPORATION OF FLORIDA
- **Other names:** Coram Neighborhood Ambulatory Infusion Suite
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760202725
- **Legal business name:** CORAM HEALTHCARE CORPORATION OF FLORIDA
- **Authorized official:** CRAIG WEINERT (PRESIDENT)
- **Authorized official phone:** (518) 320-0228

## Contact information

- **Practice address:** 611 S HOWARD AVE, TAMPA, FL 33606-2412
- **Practice address phone:** (813) 639-4500
- **Mailing address:** PO BOX 809160, CHICAGO, IL 60680-9160
- **Mailing address phone:** (480) 765-5043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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