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General NPI Number Information
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NPI Number | 1265853337
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Entity Type | Organization
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Legal Business Name | COMFORT IV THERAPY, LLC
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2641 FRUITVILLE RD # 1-101
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City | SARASOTA
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State | FL
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Zip | 34237-5222
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Country | US
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Telephone | 941-355-8330
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Fax | 941-355-8322
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Provider Business Mailing Address
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Address Line | 2641 FRUITVILLE RD # 1-101
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City | SARASOTA
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State | FL
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Zip | 34237-5222
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Country | US
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Telephone | 941-355-8330
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Fax | 941-355-8322
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEVI KOUNG
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Credential | RPH
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Telephone | 941-355-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 45954
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 45954
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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