Puravita IV Lounge, LLC
NPI #1386479277 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1386479277
- Entity Type
- Organization
- Organization Name
- Puravita IV Lounge, LLC
- Primary Specialty
- Home Infusion
- Enumeration Date
- Sep 3, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 890 LIVESTOCK LOOP
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34771-9146
- Phone
- (407) 212-0860
Authorized Official
- Name
- MS. CARLA DARNETT FUENTES-BLANCO, APRN
- Title
- CEO
- Phone
- (407) 212-0860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Infusion |
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