Lake Mary Infusion Center
NPI 1104609866ActiveOrganization· Internal Medicine· Lake Mary, FL
Internal Medicine in Lake Mary, Florida, registered in NPPES in August 2023. The authorized official on file is Helen Bukritstky, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104609866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2023 |
| Last updated in NPPES | Aug 14, 2024 |
| Certified by provider | Aug 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Infusion Therapy | 261QI0500X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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