| 360 Infusion Center | |
|
14107 Cortez Blvd Brooksville FL 34613 | |
| (352) 549-9962 | |
| (352) 549-9963 |
| Full Name | 360 Infusion Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14107 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Gatuam Thakkar (MANAGER) |
| Authorized Official Contact | 3525499962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Infusion Center 14107 Cortez Blvd Brooksville FL 34613 Ph: (352) 549-9962 | 360 Infusion Center 14107 Cortez Blvd Brooksville FL 34613 Ph: (352) 549-9962 |
| NPI Number | 1649861790 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 7113396383 |
|---|---|
| Medicare Enrollment ID | O20221209001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649861790 | NPI | - | NPPES |
| Provider Name | Daphnee Moise-johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871546788 PECOS PAC ID: 8729041355 Enrollment ID: I20051028000404 |
| Provider Name | Susan Mary Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740477454 PECOS PAC ID: 0143645671 Enrollment ID: I20200731000451 |
| Provider Name | Nickie M Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487365078 PECOS PAC ID: 7416329438 Enrollment ID: I20230220002297 |
| Provider Name | Kristy Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720786510 PECOS PAC ID: 3476901042 Enrollment ID: I20231121002457 |
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Ridge Manor Family Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31158 Cortez Blvd, Brooksville, FL 34602 Phone: 352-796-5303 Fax: 352-796-5304 | |
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Nautilus Health Care Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11371 Cortez Blvd Ste 134, Brooksville, FL 34613 Phone: 352-606-7182 Fax: 352-606-7482 | |
Brooksville Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11329 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-5052 Fax: 352-596-5244 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31075 Cortez Blvd, Brooksville, FL 34602 Phone: 352-796-5303 Fax: 352-796-5304 | |
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