Healthcare Provider Details

I. General information

NPI: 1831196351
Provider Name (Legal Business Name): TEAMCARE INFUSION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 04/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12240 SW 128TH CT SUITE 107
MIAMI FL
33186-4781
US

IV. Provider business mailing address

12240 SW 128TH CT SUITE 107
MIAMI FL
33186-4781
US

V. Phone/Fax

Practice location:
  • Phone: 305-969-2270
  • Fax: 305-969-2228
Mailing address:
  • Phone: 305-969-2270
  • Fax: 305-969-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberPH-0015891
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPH-0015891
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPH-0015891
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPH-0015891
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPH-0015891
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License NumberPH0015891
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPH-0015891
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH-0015891
License Number StateFL

VIII. Authorized Official

Name: MR. MARK SCHNEIDER
Title or Position: PRESIDENT
Credential:
Phone: 305-969-2270