Provider Demographics
NPI:1053729830
Name:INFECTION CARE OF NORTH ALABAMA LLC
Entity type:Organization
Organization Name:INFECTION CARE OF NORTH ALABAMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/ MANAGER/ MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-623-2969
Mailing Address - Street 1:PO BOX 3210
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-0010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2111 CLOYD BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1503
Practice Address - Country:US
Practice Address - Phone:917-623-2969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33568207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty