Organization
SOUTHWEST FLORIDA INFUSION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERDEN RABIEIFAR PHARM D (PRESIDENT/PHARMACIST)
(561) 876-4043
Entity
Organization
Contact information
Practice address
3340 FAIRLANE FARMS RD., STE 4, WELLINGTON, FL 33414
(561) 469-1181
(561) 469-1182
Mailing address
3340 FAIRLANE FARMS RD, STE 4, WELLINGTON, FL 33414
(561) 469-1181
(561) 469-1182
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105405800
—
FL
05
—
105405801
—
FL
Enumeration date
02/06/2006
Last updated
06/01/2015
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