Organization
CORAM HEALTHCARE CORPORATION OF SOUTHERN FLORIDA
Active
Parent organization
CORAM HEALTHCARE CORPORATION OF SOUTHERN FLORIDA
Other names
Coram CVS/specialty Infusion Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORAM HEALTHCARE CORPORATION OF SOUTHERN FLORIDA
Authorized official
TRICIA LACAVICH (PRESADENT)
(314) 306-3255
Entity
Organization
Contact information
Practice address
261 N UNIVERSITY DR, PLANTATION, FL 33324-2002
(954) 829-4490
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(480) 765-5043
(401) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
Primary
HHA20290096
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH23578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA20290096
HOME HEALTH AGENCY
FL
01
—
PH23578
PHARMACY PERMIT
FL
Enumeration date
05/20/2006
Last updated
03/07/2023
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