# INFINITY MEDICAL INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1962879866
- **Authorized official:** MORIAH MOFFITT MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (813) 871-2929

## Contact information

- **Practice address:** 1715 N WEST SHORE BLVD, SUITE 100, TAMPA, FL 33607-3925
- **Practice address phone:** (813) 871-2929
- **Mailing address:** 1715 N WEST SHORE BLVD, SUITE 100, TAMPA, FL 33607-3925
- **Mailing address phone:** (813) 871-2929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 606402 | FL | Yes |

## Other

- **Enumeration date:** 08/26/2015
- **Last updated:** 08/26/2015