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INNOVATIVE INFUSIONS LLC. NPI 1699428490


NPI Information

NPI: 1699428490
Provider Name: INNOVATIVE INFUSIONS, LLC.

Doing Business As: PARAGON INFUSION CENTERS

Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 10D2286651

Address:
16421 CORPORATE COMMERCE WAY STE 106
FORT MYERS, FL
ZIP 33913
Phone: (210) 347-7459
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INNOVATIVE INFUSIONS, LLC. is an infusion therapy clinic center in Fort Myers, FL. INNOVATIVE INFUSIONS, LLC. NPI is 1699428490. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Paragon Infusion Centers.

The provider's business location address is:

16421 CORPORATE COMMERCE WAY STE 106
FORT MYERS, FL
ZIP 33913-267
Phone: (210) 347-7459

The provider's authorized official is Anthony Mollica .
The authorized official title is Ceo and has the following contact phone number (972) 588-1000.

The CLIA number assigned to this NPI record is 10D2286651 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 6/16/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
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: 4/28/2024

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