Healthcare Provider Details

I. General information

NPI: 1912607599
Provider Name (Legal Business Name): METFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N US HIGHWAY 1 STE A
ORMOND BEACH FL
32174-4528
US

IV. Provider business mailing address

821 N US HIGHWAY 1 STE A
ORMOND BEACH FL
32174-4528
US

V. Phone/Fax

Practice location:
  • Phone: 386-868-0011
  • Fax: 888-329-6537
Mailing address:
  • Phone: 386-868-0011
  • Fax: 888-329-6537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KARLI FRIEDMAN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 386-868-0011