Healthcare Provider Details

I. General information

NPI: 1598847386
Provider Name (Legal Business Name): INFUSION TECHNOLOGIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 05/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5803 BRECKENRIDGE PKWY STE.A
TAMPA FL
33610-4247
US

IV. Provider business mailing address

820 NE 126TH ST
NORTH MIAMI FL
33161-4906
US

V. Phone/Fax

Practice location:
  • Phone: 813-514-1676
  • Fax: 813-514-1677
Mailing address:
  • Phone: 305-887-9335
  • Fax: 305-883-8869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPH18257
License Number StateFL

VIII. Authorized Official

Name: JOSE SOTOMAYOR
Title or Position: PRESIDENT
Credential:
Phone: 305-887-9335