Advantage Infinity Health LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANTAGE INFINITY HEALTH LLC

Practice address

111 N 2ND St Ste 105
Fort Pierce, FL 34950-4413

Phone

(772) 672-3724

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Elyse O'Donnell

Title

Owner

Phone

(772) 672-3724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1114485406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 2ND ST STE 105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504413",
            "telephone_number": "772-672-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 2ND ST STE 105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504413",
            "telephone_number": "772-672-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE INFINITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-672-3724"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Pierce, FL
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• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.