INFUSION CENTER OF JACKSONVILLE, LLC
NPI 1336606383
Clinic/Center - Infusion Therapy in Jacksonville, FL

Active since February 26, 2019CLIA 10D2183135 · Waiver
11512 LAKE MEAD AVE STE 302-303, JACKSONVILLE, FL 32256(561) 323-8987 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2022, Jun 15, 2020, Feb 26, 2019 (3 updates tracked since 2019).

About Infusion Center Of Jacksonville, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INFUSION CENTER OF JACKSONVILLE, LLC (NPI 1336606383) is a healthcare organization registered as an infusion therapy in Jacksonville, Florida and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Sue Ellen Rottura, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1336606383
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameINFUSION CENTER OF JACKSONVILLE, LLC
Location Address11512 LAKE MEAD AVE STE 302-303Jacksonville, FL 32256-9680
Mailing Address1726 Cole Blvd Ste 250Lakewood, CO 80401-3262 · (720) 465-5030
Organization SubpartNo
Authorized OfficialSue Ellen RotturaChief Operating Officer · (561) 323-8987
Enumeration DateFebruary 26, 2019
Last NPPES UpdateApril 11, 20223 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1336606383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
11512 LAKE MEAD AVE STE 302-303, Jacksonville, FL 32256

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2183135

Infusion Center Of Jacksonville LLC · Jacksonville, FL
Active · expires Apr 29, 2028
CLIA Number10D2183135
Laboratory TypeMedical Off/Infusion Ctr
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorJohn Panos
Laboratory Phone(904) 456-8734
Laboratory LocationInfusion Center Of Jacksonville LLC11512 Lake Mead Ave - Ste 302-303, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Infusion Center Of Jacksonville, LLC's NPI number?

The NPI number for Infusion Center Of Jacksonville, LLC is 1336606383. It was assigned to this organization in the NPPES registry on February 26, 2019.

Where is Infusion Center Of Jacksonville, LLC located?

Infusion Center Of Jacksonville, LLC is located at 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256. The listed phone number is (561) 323-8987.

What is Infusion Center Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Does Infusion Center Of Jacksonville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2183135) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Infusion Center Of Jacksonville, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 1 other insurer list Infusion Center Of Jacksonville, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Infusion Center Of Jacksonville, LLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.