INFUSION CENTER OF JACKSONVILLE, LLC – Infusion Therapy Clinic/Center, NPI 1336606383

INFUSION CENTER OF JACKSONVILLE, LLC is a healthcare provider. based in Jacksonville, Florida. specializing in Infusion Therapy Clinic/Center. The NPI Number for INFUSION CENTER OF JACKSONVILLE, LLC is 1336606383

Main info

Organization
Name
INFUSION CENTER OF JACKSONVILLE, LLC
NPI
1336606383
Phone
(561) 323-8987
Address
11512 LAKE MEAD AVE STE 302-303
Authorized Official
SUE ELLEN ROTTURA CHIEF OPERATING OFFICER
Enumeration Date
26 February 2019
Last Update Date
11 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for INFUSION CENTER OF JACKSONVILLE, LLC

  • Lake Mead Avenue, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322569680

    Phone: (561) 323-8987

    Type: Location

  • Cole Blvd, Lakewood, Jefferson County, Colorado, 80401-4015, United States

    LAKEWOOD, CO 804013262

    Phone: (720) 465-5030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-02-28 (108 days ago).

Enrollment records

1

Earliest due date

2026-02-28

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20190709002317OClinic/Group PracticeFL2026-02-28

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32256)

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Reviews

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Frequently asked questions

Does INFUSION CENTER OF JACKSONVILLE, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — INFUSION CENTER OF JACKSONVILLE, LLC uses 1336606383.
Can I rely on INFUSION CENTER OF JACKSONVILLE, LLC being an active provider?
As of the registry snapshot, INFUSION CENTER OF JACKSONVILLE, LLC is marked active.
What healthcare role does INFUSION CENTER OF JACKSONVILLE, LLC hold?
Scheduling teams often label INFUSION CENTER OF JACKSONVILLE, LLC under Infusion Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for INFUSION CENTER OF JACKSONVILLE, LLC?
INFUSION CENTER OF JACKSONVILLE, LLC's geographic hint is Jacksonville, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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