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Contact Information

OPTUM INFUSION SERVICES 202, INC.
9655 FLORIDA MINING BLVD W STE 411
JACKSONVILLE, FL32257-2041
 Phone: 866-680-5744
 Fax: 844-250-1991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OPTUM INFUSION SERVICES 202, INC.

NPI # 1700975802
LBN Legal business name OPTUM INFUSION SERVICES 202, INC.
Authorized official DENISE MCCABE - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 05/07/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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