institution
Optum Infusion Services 204, Inc.
Home Infusion Therapy Pharmacy in Fort Myers, Florida
NPI 1588936785

Optum Infusion Services 204, Inc. is a Home Infusion Therapy Pharmacy based in Fort Myers, FL and is specialized in Home Infusion Therapy Pharmacy. Optum Infusion Services 204, Inc. practices in Fort Myers, FL. The NPI Number for Optum Infusion Services 204, Inc. is 1588936785 and holds a License No. (Florida).

The current practice location address for Optum Infusion Services 204, Inc. is 4220 Executive Circle, Suite 62, Fort Myers, FL and can be reached out via phone at 239-561-2388 and via fax at 844-830-1983.

Location: 4220 Executive Circle, Suite 62, Fort Myers, FL, 33916
institution
Provider Profile Details
NPI Number
1588936785
Provider Name
Optum Infusion Services 204, Inc.
Credential
Provider Entity Type
Organization
Address
4220 Executive Circle, Suite 62, Fort Myers, FL, 33916
Phone Number
239-561-2388
Fax Number
844-830-1983
Provider Enumeration Date
02/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015940200 05 FL
015940201 05 FL
institution
Provider Business Practice Location Address Details
Address
4220 Executive Circle, Suite 62
City
State
Zip
33916
Phone Number
239-561-2388
Fax Number
844-830-1983
person
Provider Business Mailing Address Details
Address
4220 Executive Circle, Suite 62
City
State
Zip
33916
Phone Number
239-561-2388
Fax Number
844-830-1983
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
PH26240 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
PH 27821 (Florida)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
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Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
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