Organization Active NPI

Encore Infusion Doral LLC

Doing business as Encore Infusion

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1649906801
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ENCORE INFUSION DORAL LLC
Doing business as
Encore Infusion
Practice address
3470 NW 82ND Ave Ste 108
Doral, FL 33122-1026
Phone
(561) 327-4970
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Stacey Shelton
Title
Director of Business Development
Phone
(513) 313-9014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

3470 NW 82ND Ave Ste 108
Doral, FL 33122-1026

Mailing address

PO Box 32789
Palm Beach Gardens, FL 33420-2789

Other names 1

  • Encore Infusion Doing business as

National Provider Directory

National Provider Directory

Locations

3470 NW 82nd Ave
Ste 108
Doral, FL 33122
Phone (561) 327-4970

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1649906801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32789",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334202789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 NW 82ND AVE STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221026",
            "telephone_number": "561-327-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE INFUSION DORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "513-313-9014"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.