Provider Demographics
NPI:1215425376
Name:INFINITE MEDICAL, INC.
Entity type:Organization
Organization Name:INFINITE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:BONAVENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-240-4976
Mailing Address - Street 1:1750 N UNIVERSITY DR STE 229
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8900
Mailing Address - Country:US
Mailing Address - Phone:754-240-4976
Mailing Address - Fax:561-910-0024
Practice Address - Street 1:1750 N UNIVERSITY DR STE 229
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8900
Practice Address - Country:US
Practice Address - Phone:754-240-4976
Practice Address - Fax:561-910-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies