Provider Demographics
NPI:1063767333
Name:AMERICAN INFUSION, LLC
Entity type:Organization
Organization Name:AMERICAN INFUSION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-421-2274
Mailing Address - Street 1:4625 HALDER LN STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6416
Mailing Address - Country:US
Mailing Address - Phone:855-652-2163
Mailing Address - Fax:855-665-2439
Practice Address - Street 1:4625 HALDER LN STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6416
Practice Address - Country:US
Practice Address - Phone:855-652-2163
Practice Address - Fax:855-665-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy