Coast To Coast Family Wellness

LBN: Extreme Infused Medical Plus
Coast To Coast Family Wellness is an health care organization with primary practice located at 11871 Illinois St , Dunnellon FL 34431-6503. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Extreme Infused Medical Plus can be contacted via phone (352) 220-3873, or through Dundas, Nikalina Leliea via phone (352) 220-3873.

Contact Information

Primary practice address
11871 Illinois St Dunnellon FL 34431-6503
Phone: (352) 220-3873
Fax: (352) 517-7088
Website:
Map and Directions
Authorized official contact:
Name: Dundas, Nikalina Leliea APRN FNP C
Phone: (352) 220-3873

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1457086654
LBN Legal business name Extreme Infused Medical Plus
DBA Doing business as Coast To Coast Family Wellness
Authorized official Dundas, Nikalina Leliea APRN FNP C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2022
Last updated Mar 14th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457086654 NPPES
Florida Other HUR18 BCBS

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