MEDICARE: RN ENTERPRISES INFUSION SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1184257982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RN ENTERPRISES INFUSION SERVICES INC

Provider Business Mailing Address
First Line	:	3697 CROWN POINT CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5967
Country	:	US
Telephone Number	:	844-266-2600
Fax Number	:	904-266-2600

Provider Business Practice Location Address
First Line	:	3697 CROWN POINT CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5967
Country	:	US
Telephone Number	:	844-266-2600
Fax Number	:	904-662-4700

Authorized Official
Title or Position	:	CEO
Name	:	RODNEY GB CLEMENTS
Credential	:	RN
Telephone Number	:	904-662-4700

Provider Enumeration Date	:	02/20/2020
Last Update Date	:	02/20/2020

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