Organization
FAMILY FOCUS INFUSION LLC
Active
Parent organization
FAMILY FOCUS INFUSION LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY FOCUS INFUSION LLC
Authorized official
MS. DANA W SOPER RPH (CEO)
(904) 855-0040
Entity
Organization
Contact information
Practice address
4417 BEACH BLVD, STE 101, JACKSONVILLE, FL 32207-4728
(904) 855-0040
(904) 855-0072
Mailing address
4417 BEACH BLVD, STE 101, JACKSONVILLE, FL 32207-4728
(904) 855-0040
(904) 855-0072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS 26357
FL
1835N1003X
Nutrition Support Pharmacist
PS 26357
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH 13657
FL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH 13657
FL
3336S0011X
Specialty Pharmacy
PH 13657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103302600
—
FL
05
—
103302601
—
FL
05
—
103302602
—
FL
Enumeration date
10/21/2005
Last updated
07/16/2008
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