Organization
INFUSION CENTER OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ELLEN ROTTURA (CHIEF OPERATING OFFICER)
(561) 323-8987
Entity
Organization
Contact information
Practice address
11512 LAKE MEAD AVE STE 302-303, JACKSONVILLE, FL 32256-9680
(561) 323-8987
Mailing address
1726 COLE BLVD STE 250, LAKEWOOD, CO 80401-3262
(720) 465-5030
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
04/11/2022
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