MEDICARE: IV ACCESS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	261Q00000X	Clinic/Center
3	261QH0100X	Health Service Clinic/Center
4	261QM2500X	Medical Specialty Clinic/Center
5	261QI0500X	Infusion Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407040546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IV ACCESS, INC.

Provider Business Mailing Address
First Line	:	799 NE 2ND AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-4015
Country	:	US
Telephone Number	:	561-436-9434
Fax Number	:	888-804-6378

Provider Business Practice Location Address
First Line	:	799 NE 2ND AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-4015
Country	:	US
Telephone Number	:	561-436-9434
Fax Number	:	888-804-6378

Authorized Official
Title or Position	:	ADMINISTRATOR/CLINICAL DIRECTOR
Name	:	MS. PEGGY KEOGH GOTTE
Credential	:	R.N.
Telephone Number	:	561-436-9434

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	09/30/2019

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Directions to “IV ACCESS, INC. ” Practice Location

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