Organization
OPTUM INFUSION SERVICES 204, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
8509 BENJAMIN RD STE A, TAMPA, FL 33634-1224
(800) 999-5433
(844) 815-9880
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2503
(800) 328-5979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
10/29/2025
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