INFUSION CENTER OF JACKSONVILLE LLC NPI 1336606383

NPI Information

  • NPI: 1336606383
  • Provider Name: INFUSION CENTER OF JACKSONVILLE, LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • CLIA Number: 10D2183135
  • Address: 11512 LAKE MEAD AVE STE 302-303
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (561) 323-8987

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NPI Details

INFUSION CENTER OF JACKSONVILLE, LLC is an infusion therapy clinic center in Jacksonville, FL. INFUSION CENTER OF JACKSONVILLE, LLC NPI is 1336606383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11512 LAKE MEAD AVE STE 302-303
JACKSONVILLE, FL
ZIP 32256-680
Phone: (561) 323-8987

The provider's authorized official is Sue Ellen Rottura .
The authorized official title is Chief Operating Officer and has the following contact phone number (561) 323-8987.

The CLIA number assigned to this NPI record is 10D2183135 - other - medical off/infusion ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2019 and was last updated on 4/11/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyNo
2261QI0500XClinic/CenterInfusion TherapyYes

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: 11/21/2025

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