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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 codeDescriptionLicenseStatePrimary
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 Blvd
Brooksville, FL 34613

Phone 352-549-9962 · Fax 352-549-9963

Mailing address

14107 Cortez Blvd
Brooksville, FL 34613

Phone 352-549-9962 · Fax 352-549-9963

Authorized official

Gatuam Thakkar
Manager
3525499962

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