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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