Organization Active NPI

IV Infusion Treatment Center LLC

  • Infusion Therapy Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1659817716
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
IV INFUSION TREATMENT CENTER LLC
Practice address
815 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone
(954) 248-3422
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Allen Licht
Title
Managing Director
Phone
(954) 906-9536

Specialties & licenses 1

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

Addresses

Primary practice location

815 Coral Ridge Dr
Coral Springs, FL 33071-4180

Mailing address

12350 NW 39TH St Ste 200
Coral Springs, FL 33065-2418
Phone (954) 248-3422

Other practice location 1

275 18th St Ste 103
Vero Beach, FL 32960-0824
Phone (954) 248-3422

Other practice location 2

5511 S Congress Ave Ste 115
Atlantis, FL 33462-1140
Phone (954) 248-3422

National Provider Directory

National Provider Directory

Locations

275 18th St
Ste 103
Vero Beach, FL 32960
Phone (772) 567-6181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1659817716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 NW 39TH ST STE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652418",
            "telephone_number": "954-248-3422",
            "fax_number": "800-970-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "954-248-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 18th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329600824",
            "country_code": "US",
            "telephone_number": "954-248-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 S Congress Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621140",
            "country_code": "US",
            "telephone_number": "954-248-3422",
            "fax_number": "800-970-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IV INFUSION TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "LICHT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "954-906-9536"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.