Organization
PAVILION INFUSION THERAPY INC
Active
Parent organization
PAVILION INFUSION THERAPY INC
Other names
Life Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAVILION INFUSION THERAPY INC
Authorized official
CHRISTOPHER ROBERT DURKIN FHFMA (VP)
(904) 202-5887
Entity
Organization
Contact information
Practice address
1301 PALM AVENUE, SUITE 220, JACKSONVILLE, FL 32207
(904) 202-5887
Mailing address
1660 PRUDENTIAL DRIVE, SUITE 203, JACKSONVILLE, FL 32207
(904) 202-5887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
01/07/2019
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