Organization
INFUSAL PARTNERS
Active
Other names
InfuScience
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN PHENNEGER (CFO)
(847) 855-6910
Entity
Organization
Contact information
Practice address
14328 COMMERCE WAY, MIAMI LAKES, FL 33016-1501
(305) 362-5599
Mailing address
14328 COMMERCE WAY, MIAMI LAKES, FL 33016-1501
(305) 362-5599
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH14063
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
FL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
FL
3336S0011X
Specialty Pharmacy
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032069200
—
FL
05
—
032069201
—
FL
01
—
1013729
ACM
FL
05
—
103780300
—
FL
01
—
1078787
NCPDP
FL
01
—
2124149
AETNA DME
FL
01
—
2431239
AETNA HOME HEALTH
FL
01
—
2431247
AETNA INFUSION
FL
01
—
51622
JCAHO
FL
01
—
JQ3
BCBS
FL
Enumeration date
12/12/2006
Last updated
03/07/2023
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