Organization
BOETHEIA INFUSION & HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA WIMBERLY (ALTERNATE ADMINISTRATOR)
(904) 445-8402
Entity
Organization
Contact information
Practice address
673 KINGSLEY AVE STE D, ORANGE PARK, FL 32073-5480
(904) 579-4372
Mailing address
673 KINGSLEY AVE STE D, ORANGE PARK, FL 32073-5480
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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