EVENTUS INFUSION LLC NPI 1508411182

NPI Information

NPI: 1508411182
Provider Name: EVENTUS INFUSION LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 10D2295986

Address:
11300 LINDBERGH BLVD STE 107A
FORT MYERS, FL
ZIP 33913
Phone: (239) 533-5770
Get Directions

EVENTUS INFUSION LLC is an infusion therapy clinic center in Fort Myers, FL. EVENTUS INFUSION LLC NPI is 1508411182. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11300 LINDBERGH BLVD STE 107A
FORT MYERS, FL
ZIP 33913-827
Phone: (239) 533-5770
Fax: (866) 330-7487

The provider's authorized official is Jennifer Yowler .
The authorized official title is President and has the following contact phone number (502) 627-7100.

The CLIA number assigned to this NPI record is 10D2295986 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2019 and was last updated on 3/22/2024.

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	Primary
1	207K00000X	Allergy & Immunology		No
2	207RG0100X	Internal Medicine	Gastroenterology	No
3	207RI0200X	Internal Medicine	Infectious Disease	No
4	207RR0500X	Internal Medicine	Rheumatology	No
5	261Q00000X	Clinic/Center		No
6	261QI0500X	Clinic/Center	Infusion Therapy	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	113959606	MEDICAID	FLORIDA
2	113959600	MEDICAID	FLORIDA
3	113959605	MEDICAID	FLORIDA
4	113959612	MEDICAID	FLORIDA
5	113959607	MEDICAID	FLORIDA
6	113959608	MEDICAID	FLORIDA
7	113959611	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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