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General NPI Number Information
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NPI Number | 1902977416
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Entity Type | Organization
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Legal Business Name | FLORIDA INFUSION SERVICES, INC.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4190 CORPORATE COURT
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City | PALM HARBOR
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State | FL
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Zip | 34683-1412
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Country | US
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Telephone | 727-943-9900
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Fax | 727-943-0852
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Provider Business Mailing Address
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Address Line | 4190 CORPORATE COURT
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City | PALM HARBOR
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State | FL
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Zip | 34683-1412
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Country | US
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Telephone | 727-943-9900
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Fax | 727-943-0852
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RODOLFO CICCARELLO
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Credential | R.PH.
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Telephone | 727-943-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH 9911
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PH9911
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License Number State | FL
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