NPI | 1013984533 |
---|---|
Doing Business As | DAYTONA SOUTH DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-03-02 |
Last Update Date | 2021-04-20 |