Healthcare Provider Details

I. General information

NPI: 1265853337
Provider Name (Legal Business Name): COMFORT IV THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 FRUITVILLE RD # 1-101
SARASOTA FL
34237-5222
US

IV. Provider business mailing address

2641 FRUITVILLE RD # 1-101
SARASOTA FL
34237-5222
US

V. Phone/Fax

Practice location:
  • Phone: 941-355-8330
  • Fax: 941-355-8322
Mailing address:
  • Phone: 941-355-8330
  • Fax: 941-355-8322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number45954
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number45954
License Number StateFL

VIII. Authorized Official

Name: DEVI KOUNG
Title or Position: PRESIDENT
Credential: RPH
Phone: 941-355-8330