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PAVILION INFUSION THERAPY INC NPI 1073008504


NPI Information

NPI: 1073008504
Provider Name: PAVILION INFUSION THERAPY INC

Other Name: LIFE CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1301 PALM AVENUE
SUITE 220
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-5887
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PAVILION INFUSION THERAPY INC is a durable medical equipment medical supplies in Jacksonville, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PAVILION INFUSION THERAPY INC NPI is 1073008504. The provider is registered as an organization entity type.
The provider Other Name Is Life Center.

The provider's business location address is:

1301 PALM AVENUE
SUITE 220
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-5887

The provider's authorized official is Christopher Robert Durkin .
The authorized official title is Vp and has the following contact phone number (904) 202-5887.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 1/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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