Organization
PAVILION INFUSION THERAPY INC
Active
Organization
PAVILION INFUSION THERAPY INC
Active
Other names
Baptist Infusion Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DURKIN FHFMA (VP)
(904) 202-5887
Entity
Organization
Contact information
Practice address
3563 PHILIPS HWY, STE 202, JACKSONVILLE, FL 32207-5663
(904) 202-5730
(904) 398-2225
Mailing address
3563 PHILIPS HWY, STE 202, JACKSONVILLE, FL 32207-5663
(904) 202-5730
(904) 398-2225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH13801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102335700
—
FL
01
—
2011769
PK
—
Enumeration date
08/10/2006
Last updated
03/16/2017
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