Healthcare Provider Details

I. General information

NPI: 1922913144
Provider Name (Legal Business Name): POLARIS INFUSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 W HUNTINGTON DR STE 305
ARCADIA CA
91007-3493
US

IV. Provider business mailing address

2900 NW 60TH ST
FORT LAUDERDALE FL
33309-1774
US

V. Phone/Fax

Practice location:
  • Phone: 855-779-4638
  • Fax: 626-740-0002
Mailing address:
  • Phone: 800-589-9747
  • Fax: 954-923-9261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GINA HUNT
Title or Position: CORPORATE DIRECTOR OF COMPLIANCE
Credential:
Phone: 800-589-9747