Healthcare Provider Details

I. General information

NPI: 1275258469
Provider Name (Legal Business Name): CHOICE ONE INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GULFSTREAM BLVD STE 107
DELRAY BEACH FL
33483-6142
US

IV. Provider business mailing address

500 GULFSTREAM BLVD STE 107
DELRAY BEACH FL
33483-6142
US

V. Phone/Fax

Practice location:
  • Phone: 561-363-6991
  • Fax: 561-363-2504
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRYAN LARA
Title or Position: CFO
Credential:
Phone: 888-272-9055