Organization Active NPI

Infusion Center of South Florida, LLC

  • Rheumatology Physician
  • Lakewood, CO
National Provider Identifier
1023361565
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
INFUSION CENTER OF SOUTH FLORIDA, LLC
Practice address
1626 Cole Blvd
Suite 100
Lakewood, CO 80401-3306
Phone
(303) 384-4051
Fax
(720) 497-9751
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RV INFUSION PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael P Glinsky
Title
Chief Executive Officer
Phone
(303) 384-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

1626 Cole Blvd
Suite 100
Lakewood, CO 80401-3306

Mailing address

4000 Hollywood Blvd
555-S
Hollywood, FL 33021-6751
Phone (303) 384-4051

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1023361565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD",
            "address_2": "555-S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216751",
            "telephone_number": "303-384-4051",
            "fax_number": "720-497-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 COLE BLVD",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013306",
            "telephone_number": "303-384-4051",
            "fax_number": "720-497-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION CENTER OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RV INFUSION PARTNERS, LLC",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "GLINSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-384-4155"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.