Organization
INFUSION CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DOMINICK MD (OWNER)
(325) 315-1651
Entity
Organization
Contact information
Practice address
16890 US HIGHWAY 441, MOUNT DORA, FL 32757-6705
(352) 315-1651
(352) 315-1703
Mailing address
16890 US HIGHWAY 441, MOUNT DORA, FL 32757-6705
(352) 315-1651
(352) 315-1703
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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