| Noble Infusion, Llc | |
|
310 Wilmette Ave Ste 3 Ormond Beach FL 32174-5276 | |
| (386) 957-9600 | |
| (386) 957-9400 |
| Full Name | Noble Infusion, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Wilmette Ave Ste 3, Ormond Beach, Florida |
| Authorized Official Name and Position | Isaiah Fogel (AMBR) |
| Authorized Official Contact | 3869579600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noble Infusion, Llc 310 Wilmette Ave Ste 3 Ormond Beach FL 32174-5276 Ph: (386) 957-9600 | Noble Infusion, Llc 310 Wilmette Ave Ste 3 Ormond Beach FL 32174-5276 Ph: (386) 957-9600 |
| NPI Number | 1346089513 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 11/24/2024 |
| Medicare PECOS PAC ID | 1658813480 |
|---|---|
| Medicare Enrollment ID | O20240609000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346089513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Primary |
| Provider Name | Gabor Menczelesz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609869833 PECOS PAC ID: 9032147434 Enrollment ID: I20170104001864 |
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