Healthcare Provider Details

I. General information

NPI: 1154108819
Provider Name (Legal Business Name): GAINESVILLE INFUSION RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6241 NW 23RD ST STE 101
GAINESVILLE FL
32653-7105
US

IV. Provider business mailing address

6241 NW 23RD ST STE 101
GAINESVILLE FL
32653-7105
US

V. Phone/Fax

Practice location:
  • Phone: 352-283-8411
  • Fax: 352-283-8222
Mailing address:
  • Phone: 352-283-8411
  • Fax: 352-283-8222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRIS K. CURRIN
Title or Position: OWNER
Credential:
Phone: 352-283-8411