NPI 1386479277

Puravita IV Lounge, LLC

Organisation Home Infusion Agency Saint Cloud, FL

Practice location

Address: 890 Livestock Loop, Saint Cloud, FL 34771-9146
Phone: (407) 212-0860

Authorised official

Name: Carla Darnett Fuentes-Blanco
Title: Ceo
Phone: (407) 212-0860

Registered specialties

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X

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Registry record

NPI: 1386479277
Entity type: Organization
NPI issued: 3 Sep 2024
Record last updated: 3 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.