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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