Individual provider Active NPI

Michelle Lee Gulizio, APRN

  • Infusion Therapy Clinic/Center
  • Brooksville, FL
National Provider Identifier
1124601117
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
11011928 Issued in FL
Practice address
4228 Silver Star Dr
Brooksville, FL 34609-0381
Phone
(352) 238-9822
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 11011928 FL Primary

Addresses

Primary practice location

4228 Silver Star Dr
Brooksville, FL 34609-0381

Mailing address

4228 Silver Star Dr
Brooksville, FL 34609-0381
Phone (352) 238-9822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11011928FLMDInfusion Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1124601117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 SILVER STAR DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346090381",
            "telephone_number": "352-238-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 SILVER STAR DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346090381",
            "telephone_number": "352-238-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULIZIO",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "FL",
            "license": "11011928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.