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General NPI Number Information
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NPI Number | 1861708760
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Entity Type | Organization
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Legal Business Name | INFUMED HOME CARE INC.
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 6405 NW 36TH ST SUITE # 111
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6974
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Country | US
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Telephone | 305-871-6720
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Fax | 305-871-6721
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Provider Business Mailing Address
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Address Line | 6405 NW 36TH ST SUITE # 111
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6974
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Country | US
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Telephone | 305-871-6720
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Fax | 305-871-6721
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MR. LESTER MARTINEZ
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Credential | M.D
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Telephone | 305-871-6720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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