NPI | 1104342195 |
---|---|
Doing Business As | FORT LAUDERDALE DIALYSIS |
Entity Type | Organization |
Authorized Contact | MARCIA SANTOS Administrator 954-709-9793 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-08-21 |
Last Update Date | 2020-04-15 |