Organization
GULF COAST INFUSION LLC
Active
Organization
GULF COAST INFUSION LLC
Active
Other names
Vital Care of Pensacola
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MIXON (OWNER)
(251) 947-5593
Entity
Organization
Contact information
Practice address
6565 N W ST STE 220&230, PENSACOLA, FL 32505-1715
(850) 985-8912
(850) 985-8913
Mailing address
6565 N W ST STE 220&230, PENSACOLA, FL 32505-1715
(850) 985-8912
(850) 985-8913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
02/23/2024
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