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General NPI Number Information
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NPI Number | 1255207171
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Entity Type | Organization
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Legal Business Name | POLARIS INFUSION LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 931 BUENA VISTA ST STE 205
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City | DUARTE
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State | CA
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Zip | 91010-1713
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Country | US
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Telephone | 813-434-1495
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 NW 60TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1774
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Country | US
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Telephone | 800-589-9747
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Fax | 954-923-9261
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Authorized Official
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Title or Position | CORPORATE DIRECTOR OF COMPLIANCE, C
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Name | GINA HUNT
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Credential |
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Telephone | 800-589-9747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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