Organization · Type 2 NPI

Pavilion Infusion Therapy Inc

Durable Medical Equipment & Medical Supplies · Jacksonville, FL

NPI number 1073008504 Active

Practice location

1301 Palm Avenue, Suite 220
Jacksonville, FL 32207

Call (904) 202-5887 Map

Mailing address

1660 Prudential Drive, Suite 203
Jacksonville, FL 32207

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: 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.

Other durable medical equipment & medical supplies providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1073008504
Entity type: Organization (Type 2)
Issued: Jun 27, 2018
Last updated: Jan 7, 2019
Status: Active
Subpart: Yes of Pavilion Infusion Therapy Inc

Other names

<unavail>
Life Center · other name
Life Center · other name

Authorized official

Christopher Robert Durkin, FHFMA
VP
(904) 202-5887

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1073008504

Pavilion Infusion Therapy Inc's National Provider Identifier is 1073008504, issued on Jun 27, 2018. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 7, 2019.