Healthcare Provider Details

I. General information

NPI: 1780415695
Provider Name (Legal Business Name): ACCORD SPECIALTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2752 ENTERPRISE RD STE B
ORANGE CITY FL
32763-8328
US

IV. Provider business mailing address

2752 ENTERPRISE RD STE B
ORANGE CITY FL
32763-8328
US

V. Phone/Fax

Practice location:
  • Phone: 855-222-6730
  • Fax: 386-385-7871
Mailing address:
  • Phone: 855-222-6730
  • Fax: 386-385-7871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DHARABEN PATEL
Title or Position: PRESIDENT
Credential:
Phone: 855-222-6730