Provider Demographics
NPI:1740159565
Name:MOBILE IV INFUSIONS LLC
Entity type:Organization
Organization Name:MOBILE IV INFUSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DUPRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-727-0482
Mailing Address - Street 1:7800 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6542
Mailing Address - Country:US
Mailing Address - Phone:203-727-0482
Mailing Address - Fax:
Practice Address - Street 1:7800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6542
Practice Address - Country:US
Practice Address - Phone:203-727-0482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion