Organization
INFUSION TECHNOLOGIES INC
Active
Other names
Infusion Technologies, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SOTOMAYOR (PRESIDENT)
(305) 887-9335
Entity
Organization
Contact information
Practice address
3728 PHILLIPS HWY, STE. 212, JACKSONVILLE, FL 32207-9300
(904) 399-3332
(904) 399-3383
Mailing address
820 NE 126TH ST, NORTH MIAMI, FL 33161-4906
(305) 887-9335
(305) 883-8869
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH20070
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02684450
—
FL
01
—
1007702
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1012158610001
—
PA
05
—
2610795
—
OH
05
—
54010996
—
KY
Enumeration date
10/20/2006
Last updated
05/25/2010
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