PAVILION INFUSION THERAPY INC (NPI# 1073008504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073008504 |
Entity Type | Organization |
Organization Name | PAVILION INFUSION THERAPY INC |
Other Organization Name | LIFE CENTER |
Practice Address |
1301 Palm Avenue Suite 220 Jacksonville FL 32207 |
Mailing Address |
1660 Prudential Drive Suite 203 Jacksonville FL 32207 |
Practice Telephone | 9042025887 |
Mailing Telephone | 9042025887 |
Enumeration Date | 2018-06-27 |
Last Update Date | 2019-01-07 |
Authorized Official Name | CHRISTOPHER ROBERT DURKIN (VP) |
Authorized Official Telephone | 9042025887 |
Authorized Official Credential | FHFMA |
Is Organization Subpart | Y |
Parent Organization Name | PAVILION INFUSION THERAPY INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Life Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962413500 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 3563 Philips Hwy, Ste 202, Jacksonville, FL 32207-5663 | 2006-08-10 |
1447596853 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 6930 Bonneval Rd, Suite 3, Jacksonville, FL 32216 | 2012-12-13 |
Street Address |
1301 PALM AVENUE SUITE 220 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
1225548589 | Rachel Ablavi Noameshie | Nurse Practitioner | 1611 Mayfair Rd, Jacksonville, FL 32207 | 2017-10-01 |
Find all providers in zip 32207 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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1306451075 | Da&u Group Inc | Durable Medical Equipment & Medical Supplies | 2118 E Rusk St, Jacksonville, TX 75766-9052 | 2020-09-10 |
1215540562 | Christina Lorraine Jones | Durable Medical Equipment & Medical Supplies | 894 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-08-26 |
1578175568 | Mob Enterprises LLC | Durable Medical Equipment & Medical Supplies | 5285 Shad Rd Ste 207, Jacksonville, FL 32257-2038 | 2020-08-20 |
1902456106 | Andre' Pollard | Durable Medical Equipment & Medical Supplies | 13700 Sutton Park Dr N Apt 1313, Jacksonville, FL 32224-2277 | 2019-09-19 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
1285297838 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 5353 Ramona Blvd Ste 3, Jacksonville, FL 32205-4417 | 2019-04-18 |
1831657394 | Synergy Pharmacy Medical Consulting LLC | Durable Medical Equipment & Medical Supplies | 3517 Peeler Rd Apt 19, Jacksonville, FL 32277-2491 | 2019-03-04 |
1346707262 | Realo Discount Drug Stores of Eastern North Carolina Inc | Durable Medical Equipment & Medical Supplies | 461 Western Blvd Ste 122a, Jacksonville, NC 28546-7637 | 2019-02-27 |
1689131617 | Hughston Orthopaedic Southeast PC | Durable Medical Equipment & Medical Supplies | 6699 Gate Pkwy, Jacksonville, FL 32256-8078 | 2019-02-26 |
1457816548 | Ceylon Imports LLC | Durable Medical Equipment & Medical Supplies | 10435 Midtown Pkwy Unit 125, Jacksonville, FL 32246-7462 | 2019-02-04 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.