Healthcare Provider Details

I. General information

NPI: 1790648657
Provider Name (Legal Business Name): INFUSE IQ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 PLATINUM DR
CODY WY
82414-3420
US

IV. Provider business mailing address

855 SW 78TH AVE # C200
PLANTATION FL
33324-3223
US

V. Phone/Fax

Practice location:
  • Phone: 888-559-1236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD KRAMM
Title or Position: CEO
Credential:
Phone: 913-515-6719