| NPI | 1083031223 |
|---|---|
| Doing Business As | LAKE MARY 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 | 2014-03-26 |
| Last Update Date | 2021-10-28 |