Healthcare Provider Details

I. General information

NPI: 1912601428
Provider Name (Legal Business Name): WHOLE CARE INFUSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 UNIVERSAL BLVD # A205
ORLANDO FL
32819-8766
US

IV. Provider business mailing address

9650 UNIVERSAL BLVD # A205
ORLANDO FL
32819-8766
US

V. Phone/Fax

Practice location:
  • Phone: 407-485-3620
  • Fax:
Mailing address:
  • Phone: 407-485-3620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHEKIFIRA HUGHES
Title or Position: CEO
Credential: APRN
Phone: 407-485-3620