NPI 1649861790 · live from the CMS NPI Registry
360 Medical Care LLC
Clinic/Center, Infusion Therapy in Brooksville, FL. National Provider Identifier 1649861790, active.
NPI record
| NPI | 1649861790 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Infusion Therapy 261QI0500X |
| Practice location | 14107 Cortez Blvd, Brooksville, FL 34613 |
| Practice phone | 352-549-9962 |
| Enumerated | February 1, 2021 |
| Last updated | October 16, 2024 |
| Authorized official | Gatuam Thakkar, Manager |
| Other names | 360 Infusion Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| General Practice | 208D00000X | — |
| Clinic/Center, Infusion Therapy primary | 261QI0500X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.