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Organization

FLORIDA HOSPITAL HOME INFUSION, LLP

Active
Other names
AdventHealth Home Infusion Central Florida
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER RAY RN (VP)
(813) 436-2900
Entity
Organization

Contact information

Practice address
556 FLORIDA CENTRAL PKWY, SUITE 1044, LONGWOOD, FL 32750-5174
(407) 865-5489
(407) 865-9679
Mailing address
500 WINDERLEY PL STE 228, MAITLAND, FL 32751-7407
(407) 660-1122
(407) 660-0097

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH 12210
FL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH12210
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102135400
FL
01
JQ4
BLUE CROSS
FL
Enumeration date
05/08/2006
Last updated
10/17/2025
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