Provider Demographics
NPI:1699597971
Name:INFUSION PREMIER
Entity type:Organization
Organization Name:INFUSION PREMIER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABD ALRAZZAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-308-9480
Mailing Address - Street 1:17901 BAHAMA ISLE CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2777
Mailing Address - Country:US
Mailing Address - Phone:305-308-9480
Mailing Address - Fax:
Practice Address - Street 1:410 W GRAND PKWY S STE 4A
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8361
Practice Address - Country:US
Practice Address - Phone:305-308-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy