Organization
AXIVA INFUSION CENTERS - PN LLC
Active
Parent organization
AXIVA INFUSION CENTERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXIVA INFUSION CENTERS LLC
Authorized official
MRS. COLLEEN S SHAPIRO (MANAGING MEMBER)
(561) 955-0920
Entity
Organization
Contact information
Practice address
10 ROUTE 31 N STE 103, PENNINGTON, NJ 08534-1606
(844) 442-9482
(844) 440-0101
Mailing address
3420 FAIRLANE FARMS RD STE 200, WELLINGTON, FL 33414-8701
(561) 955-0920
(844) 440-0101
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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