| NPI | 1033317433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJIT SINGH GULATI Owner 954-438-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD1100X Registered Nurse Dialysis, Peritoneal |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| 207RN0300X Internal Medicine Nephrology | |
| 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-10-09 |