Lake Mary Infusion Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKE MARY INFUSION CENTER

Practice address

105 Commerce St Ste 109
Lake Mary, FL 32746-6228

Phone

(267) 939-1819

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Helen Bukritstky

Title

President

Phone

(267) 939-1819

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukesh Wadhwa, ARNP

  • Family Nurse Practitioner
  • Coral Springs, FL
  • NPI 1306843982
  Medicare reassignment
• Helen Felix Bukritsky, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1275735508
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1104609866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COMMERCE ST STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466228",
            "telephone_number": "267-939-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COMMERCE ST STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466228",
            "telephone_number": "267-939-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MARY INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "BUKRITSTKY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-939-1819"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Mary Family Care P a
• Lake Mary Family Medicine, Inc.
• Lake Mary Family Physicians P.a.
• Lake Mary Health Care Associates LLC
• Lake Mary Imaging Center, Inc.
• Lake Mary Medical Center
• Lake Mary Medical Services, LLC
• Lake Mary Modern Dentistry, PA
• Lake Mary OB/GYN
• Lake Mary Plastic and Cosmetic Surgery PA

• Internal Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.