Organization
MPP INFUSION CENTER OF KISSIMMEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ELLEN ROTTURA (CHIEF OPERATION OFFICER)
(561) 323-8987
Entity
Organization
Contact information
Practice address
607 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(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
07/15/2019
Last updated
04/11/2022
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