| NPI | 1083337067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA DRISKELL Authorized Official/Credentialing 727-287-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |