Organization
INC INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA SNEAD (NURSE)
(727) 729-2981
Entity
Organization
Contact information
Practice address
1625 S CENTRAL AVE, FLAGLER BEACH, FL 32136-3850
(386) 729-2981
Mailing address
1625 S CENTRAL AVE, FLAGLER BEACH, FL 32136-3850
(727) 729-2981
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PN5181900
FL
251F00000X
Home Infusion Agency
Primary
PN5181900
FL
332B00000X
Durable Medical Equipment & Medical Supplies
PN5181900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5181900
BOARD OF NURSING LICENSE
FL
Enumeration date
11/28/2016
Last updated
11/28/2016
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