Organization
TRICOUNTY IV THERAPY AND RECOVERY LLC
Active
Other names
TRICOUNTY IV THERAPY AND RECOVERY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDWIGE LORQUET RN (CEO/OWNER)
(305) 877-1462
Entity
Organization
Contact information
Practice address
400 KINGS POINT DR APT 824, SUNNY ISLES BEACH, FL 33160-4701
(188) 830-8355
Mailing address
400 KINGS POINT DR APT 824, SUNNY ISLES BEACH, FL 33160-4701
(188) 830-8355
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326770488
—
FL
Enumeration date
07/11/2022
Last updated
07/11/2022
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