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NPI Code Detail

MEDICARE: CONSULTANTS IN INFECTIOUS DISEASES LLC

MEDICARE: CONSULTANTS IN INFECTIOUS DISEASES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
234308OTHERFLBCBS

General Provider Information

NPI Number : 1992906655
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSULTANTS IN INFECTIOUS DISEASES LLC
Provider Business Mailing Address
First Line : 5670 54TH AVENUE NORTH
Second Line : SUITE A-1
City : KENNETH CITY
State : FL
Zip : 33709-2067
Country : US
Telephone Number : 727-548-0260
Fax Number : 727-548-0270
Provider Business Practice Location Address
First Line : 5670 54TH AVENUE NORTH
Second Line : SUITE A-1
City : KENNETH CITY
State : FL
Zip : 33709-2067
Country : US
Telephone Number : 727-548-0260
Fax Number : 727-548-0270
Authorized Official
Title or Position : ASSISTANT PRACTICE MANAGER
Name : CHRISTIAN TITUS
Credential :
Telephone Number : 727-491-5117
Provider Enumeration Date : 05/30/2007
Last Update Date : 02/21/2021

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Directions to “CONSULTANTS IN INFECTIOUS DISEASES LLC ” Practice Location

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