Organization · Type 2 NPI

Pavilion Infusion Therapy Inc

Durable Medical Equipment & Medical Supplies · Jacksonville, FL

NPI number 1447596853 Active

Practice location

6930 Bonneval Rd, Suite 3
Jacksonville, FL 32216

Call (904) 202-5760 Map

Fax (904) 281-0217

Mailing address

1660 Prudential Dr Ste 203
Jacksonville, FL 32207-8185

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	1313883 (FL)
Oxygen Equipment & Supplies (DME)	332BX2000X	1313883 (FL)

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.

3 other providers at this address

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NPI record

NPI: 1447596853
Entity type: Organization (Type 2)
Issued: Dec 13, 2012
Last updated: Jun 26, 2018
Status: Active
Subpart: Yes of Pavilion Infusion Therapy Inc

Other names

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Baptist Infusion Therapy Bonneval · doing business as
Baptist Infusion Therapy Bonneval · doing business as

Authorized official

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

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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.

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About NPI 1447596853

Pavilion Infusion Therapy Inc's National Provider Identifier is 1447596853, issued on Dec 13, 2012. 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 Jun 26, 2018.