Healthcare Provider Details

I. General information

NPI: 1073263265
Provider Name (Legal Business Name): INFUSEWELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 SUNSET DR STE 100
SOUTH MIAMI FL
33143-4836
US

IV. Provider business mailing address

6330 SUNSET DR STE 100
SOUTH MIAMI FL
33143-4836
US

V. Phone/Fax

Practice location:
  • Phone: 305-927-1000
  • Fax: 305-306-3420
Mailing address:
  • Phone: 305-927-1000
  • Fax: 305-306-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PHILIP WEBER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-340-2533