Healthcare Provider Details

I. General information

NPI: 1467133975
Provider Name (Legal Business Name): SPECIALTY INFUSIONS FL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 S DIVISION AVE STE B
ORLANDO FL
32805-4729
US

IV. Provider business mailing address

PO BOX 211018
BROOKLYN NY
11221-7018
US

V. Phone/Fax

Practice location:
  • Phone: 407-465-7500
  • Fax: 407-465-7900
Mailing address:
  • Phone: 407-465-7500
  • Fax: 407-465-4900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WESTLEIGH NIRENBERG
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 407-465-7500