Organization
WEST FLORIDA HEALTH HOME INFUSION LLC
Active
Organization
WEST FLORIDA HEALTH HOME INFUSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PERNO (PRESIDENT WEST FLORIDA HEALTH)
(813) 605-4690
Entity
Organization
Contact information
Practice address
11461 N US HIGHWAY 301, STE 105, THONOTOSASSA, FL 33592-3541
(813) 803-4024
(813) 803-4020
Mailing address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 803-4024
(813) 803-4020
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
03/16/2017
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