Active NPI
Noble Infusion, LLC
- Infusion Therapy Clinic/Center
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- NOBLE INFUSION, LLC
- Practice address
- 310 Wilmette Ave Ste 3
Ormond Beach, FL 32174-5276 - Phone
- (386) 957-9600
- Fax
- (386) 957-9400
- NPI assigned
- May 20, 2024
- Last updated
- Jul 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaiah Fogel
- Title
- Ambr
- Phone
- (386) 957-9600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Infusion Therapy Clinic/Center | 261QI0500X | NU | Primary |
Addresses
Primary practice location
310 Wilmette Ave Ste 3
Ormond Beach, FL 32174-5276
Mailing address
310 Wilmette Ave Ste 3
Ormond Beach, FL 32174-5276
Phone (386) 957-9600
Other practice location 1
3959 S Nova Rd Ste 7
Port Orange, FL 32127-4900
Phone (386) 957-9600
Other practice location 2
145 E Rich Ave Ste E
Deland, FL 32724-4338
Phone (386) 957-9600
Other practice location 3
50 Leanni Way Unit A5
Palm Coast, FL 32137-4753
Phone (386) 957-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
310 Wilmette Ave
Ste 3
Ormond Beach, FL 32174
Phone (386) 957-9600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction Medicine (Internal Medicine) Physician
- St Augustine, FL
- NPI 1609869833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1346089513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 WILMETTE AVE STE 3",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745276",
"telephone_number": "386-957-9600",
"fax_number": "386-957-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 WILMETTE AVE STE 3",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745276",
"telephone_number": "386-957-9600",
"fax_number": "386-957-9400"
}
],
"practiceLocations": [
{
"address_1": "3959 S Nova Rd Ste 7",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321274900",
"country_code": "US",
"telephone_number": "386-957-9600",
"fax_number": "386-957-9400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 E Rich Ave Ste E",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327244338",
"country_code": "US",
"telephone_number": "386-957-9600",
"fax_number": "386-957-9400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Leanni Way Unit A5",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321374753",
"country_code": "US",
"telephone_number": "386-957-9600",
"fax_number": "386-957-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOBLE INFUSION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-20",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "FOGEL",
"authorized_official_first_name": "ISAIAH",
"authorized_official_title_or_position": "AMBR",
"authorized_official_telephone_number": "386-957-9600"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.