Organization
NOBLE INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAH FOGEL (AMBR)
(386) 957-9600
Entity
Organization
Contact information
Practice address
310 WILMETTE AVE STE 3, ORMOND BEACH, FL 32174-5276
(386) 957-9600
(386) 957-9400
Mailing address
310 WILMETTE AVE STE 3, ORMOND BEACH, FL 32174-5276
(386) 957-9600
(386) 957-9400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
11/24/2024
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