Organization
360 MEDICAL CARE LLC
Active
Organization
360 MEDICAL CARE LLC
Active
Other names
360 Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
GATUAM THAKKAR (MANAGER)
(352) 549-9962
Entity
Organization
Contact information
Practice address
14107 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 549-9962
(352) 549-9963
Mailing address
14107 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 549-9962
(352) 549-9963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
02/01/2021
Last updated
10/16/2024
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