Specialized Infusions Llc | |
280 Business Park Cir Ste 406 Saint Augustine FL 32095-8836 | |
(904) 420-7903 | |
(904) 663-0273 |
Full Name | Specialized Infusions Llc |
---|---|
Speciality | Internal Medicine |
Location | 280 Business Park Cir Ste 406, Saint Augustine, Florida |
Authorized Official Name and Position | Sanad Alshareef (OWNER/PHYSICIAN) |
Authorized Official Contact | 9044207903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Specialized Infusions Llc 52 Tuscan Way Ste 202 #265 Saint Augustine FL 32092 Ph: () - | Specialized Infusions Llc 280 Business Park Cir Ste 406 Saint Augustine FL 32095-8836 Ph: (904) 420-7903 |
NPI Number | 1639890528 |
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Provider Enumeration Date | 09/08/2022 |
Last Update Date | 03/02/2023 |
Medicare PECOS PAC ID | 6002283280 |
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Medicare Enrollment ID | O20221101000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639890528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sanad W Alshareef |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710477963 PECOS PAC ID: 0840548665 Enrollment ID: I20210828000091 |
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