360 Medical Care LLC
Clinic/Center, Infusion Therapy in Brooksville, FL. Organization (NPI-2).
NPI number1649861790
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1649861790
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Medical Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2021
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 208D00000X | General Practice | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – |
Other names
- 360 Infusion Center (Doing Business As)
Practice location
14107 Cortez BlvdBrooksville, FL 34613
Phone 352-549-9962 · Fax 352-549-9963
Mailing address
14107 Cortez BlvdBrooksville, FL 34613
Phone 352-549-9962 · Fax 352-549-9963
Authorized official
Gatuam Thakkar
Manager
3525499962
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