Organization
FORT MYERS INFUSION, LLC
Active
Other names
Vital Care of Fort Myers
Organization subpart
No
Provider details
NPI number
Authorized official
KOKILA RAMANI (OWNER)
(239) 314-0279
Entity
Organization
Contact information
Practice address
24840 S TAMIAMI TRL STE 1&2, BONITA SPRINGS, FL 34134-7009
(239) 314-0279
(239) 314-0279
Mailing address
24840 S TAMIAMI TRL STE 1&2, BONITA SPRINGS, FL 34134-7009
(239) 314-0279
(239) 314-0279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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