Optum Infusion Services 202, Inc.

LBN: Optum Infusion Services 202, Inc.
Optum Infusion Services 202, Inc. is an health care organization with primary practice located at 9655 Florida Mining Blvd W Ste 411 , Jacksonville FL 32257-2041. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Optum Infusion Services 202, Inc. can be contacted via phone (866) 680-5744, or through Burr, Kevin Eugene via phone (712) 310-4701.

Contact Information

Primary practice address
9655 Florida Mining Blvd W Ste 411 Jacksonville FL 32257-2041
Phone: (866) 680-5744
Fax: (844) 250-1991
Website:
Map and Directions
Authorized official contact:
Name: Burr, Kevin Eugene
Phone: (712) 310-4701

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Managed Care Organization Pharmacy 3336M0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1700975802
LBN Legal business name Optum Infusion Services 202, Inc.
DBA Doing business as
Authorized official Burr, Kevin Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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