Baptist Infusion Therapy

LBN: Pavilion Infusion Therapy Inc
Baptist Infusion Therapy is an health care organization with primary practice located at 3563 Philips Hwy Ste 202, Jacksonville FL 32207-5663. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Pavilion Infusion Therapy Inc can be contacted via phone (904) 202-5730, or through Durkin, Christopher via phone (904) 202-5887.

Contact Information

Primary practice address
3563 Philips Hwy Ste 202 Jacksonville FL 32207-5663
Phone: (904) 202-5730
Fax: (904) 398-2225
Website:
Map and Directions
Authorized official contact:
Name: Durkin, Christopher FHFMA
Phone: (904) 202-5887

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PH13801 Florida

Profile Details

NPI number 1962413500
LBN Legal business name Pavilion Infusion Therapy Inc
DBA Doing business as Baptist Infusion Therapy
Authorized official Durkin, Christopher FHFMA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 16th, 2017 - about 7 years 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 1962413500 NPPES
Florida MEDICAID 102335700
Florida Other 2011769

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