Organization
1ST AMERICA INFUSION SERVICES LLC
Active
Other names
Advanced InfusionCare
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CASTELLANOS (CEO)
(877) 443-4006
Entity
Organization
Contact information
Practice address
639 N HIGHWAY 231, PANAMA CITY, FL 32405-4704
(850) 387-4312
(229) 242-9914
Mailing address
212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
(292) 423-0602
(229) 242-9914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/15/2020
Last updated
08/17/2023
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