Organization Active NPI

Pointe West Infectious Diseases P L

Doing business as MIC Florida

  • Infusion Therapy Clinic/Center
  • Bradenton, FL
National Provider Identifier
1396323465
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
POINTE WEST INFECTIOUS DISEASES P L
Doing business as
MIC Florida
Practice address
6010 Pointe West Blvd
Bradenton, FL 34209-5531
Phone
(941) 746-2711
Fax
(941) 746-3433
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
POINTE WEST INFECTIOUS DISEASES P LAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Tara Kowalski
Title
HR
Phone
(630) 655-7290

Specialties & licenses 1

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

Addresses

Primary practice location

6010 Pointe West Blvd
Bradenton, FL 34209-5531

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-7280

Other names 1

  • MIC Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pointe West Infectious Diseases P L2 organizations share this tax ID, including this one
Part of
Pointe West Infectious Diseases P L

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1396323465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-7280",
            "fax_number": "630-734-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095531",
            "telephone_number": "941-746-2711",
            "fax_number": "941-746-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE WEST INFECTIOUS DISEASES P L",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POINTE WEST INFECTIOUS DISEASES P L",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "630-655-7290"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIC Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.