PAVILION INFUSION THERAPY INC


Address: 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207
Phone: 9042025887

PAVILION INFUSION THERAPY INC (NPI# 1073008504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073008504
Entity Type Organization
Organization Name PAVILION INFUSION THERAPY INC
Other Organization Name LIFE CENTER
Practice Address 1301 Palm Avenue
Suite 220
Jacksonville
FL 32207
Mailing Address 1660 Prudential Drive
Suite 203
Jacksonville
FL 32207
Practice Telephone 9042025887
Mailing Telephone 9042025887
Enumeration Date 2018-06-27
Last Update Date 2019-01-07
Authorized Official Name CHRISTOPHER ROBERT DURKIN (VP)
Authorized Official Telephone 9042025887
Authorized Official Credential FHFMA
Is Organization Subpart Y
Parent Organization Name PAVILION INFUSION THERAPY INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
Life Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962413500 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 3563 Philips Hwy, Ste 202, Jacksonville, FL 32207-5663 2006-08-10
1447596853 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 6930 Bonneval Rd, Suite 3, Jacksonville, FL 32216 2012-12-13

Office Location

Street Address 1301 PALM AVENUE
SUITE 220
City JACKSONVILLE
State FL
Zip Code 32207

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
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1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
1225548589 Rachel Ablavi Noameshie Nurse Practitioner 1611 Mayfair Rd, Jacksonville, FL 32207 2017-10-01
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306451075 Da&u Group Inc Durable Medical Equipment & Medical Supplies 2118 E Rusk St, Jacksonville, TX 75766-9052 2020-09-10
1215540562 Christina Lorraine Jones Durable Medical Equipment & Medical Supplies 894 Plumbridge Ct, Jacksonville, FL 32218-6138 2020-08-26
1578175568 Mob Enterprises LLC Durable Medical Equipment & Medical Supplies 5285 Shad Rd Ste 207, Jacksonville, FL 32257-2038 2020-08-20
1902456106 Andre' Pollard Durable Medical Equipment & Medical Supplies 13700 Sutton Park Dr N Apt 1313, Jacksonville, FL 32224-2277 2019-09-19
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1285297838 Medical Hotspots, Inc Durable Medical Equipment & Medical Supplies 5353 Ramona Blvd Ste 3, Jacksonville, FL 32205-4417 2019-04-18
1831657394 Synergy Pharmacy Medical Consulting LLC Durable Medical Equipment & Medical Supplies 3517 Peeler Rd Apt 19, Jacksonville, FL 32277-2491 2019-03-04
1346707262 Realo Discount Drug Stores of Eastern North Carolina Inc Durable Medical Equipment & Medical Supplies 461 Western Blvd Ste 122a, Jacksonville, NC 28546-7637 2019-02-27
1689131617 Hughston Orthopaedic Southeast PC Durable Medical Equipment & Medical Supplies 6699 Gate Pkwy, Jacksonville, FL 32256-8078 2019-02-26
1457816548 Ceylon Imports LLC Durable Medical Equipment & Medical Supplies 10435 Midtown Pkwy Unit 125, Jacksonville, FL 32246-7462 2019-02-04
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Competitor

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City JACKSONVILLE
Zip Code 32207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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