Healthcare Provider Details

I. General information

NPI: 1649215468
Provider Name (Legal Business Name): U.S.I.V. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 N ORANGE AVE SUITE 106B
ORLANDO FL
32804-4639
US

IV. Provider business mailing address

2909 N ORANGE AVE SUITE 106B
ORLANDO FL
32804-4639
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-1331
  • Fax: 407-895-1672
Mailing address:
  • Phone: 407-898-1331
  • Fax: 407-895-1672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberPH18203
License Number StateFL

VIII. Authorized Official

Name: MR. JOHN W. DAVIES
Title or Position: PRESIDENT
Credential: RPH
Phone: 407-898-1331