Organization
INFUSION AND NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALDO LEE R.N. (OWNER/OPERATOR)
(386) 756-0461
Entity
Organization
Contact information
Practice address
3499 WINCHESTER DR, PORT ORANGE, FL 32129-3144
(386) 756-0461
Mailing address
3499 WINCHESTER DR, PORT ORANGE, FL 32129-3144
(386) 756-0461
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
RN 9184419
FL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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