KIDNEY CENTER OF TRADITION LLC

PORT ST LUCIE, FL
NPI1184141350
Doing Business AsGATLIN KIDNEY CARE
Entity TypeOrganization
Authorized ContactKEISHA DENISE GREENE
VP Of Clinical & Regulatory
978-522-3905
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2017-08-28
Last Update Date2022-08-18
Business Address
KIDNEY CENTER OF TRADITION LLC
1631 SW GATLIN BLVD SUITE 100
PORT ST LUCIE, FL 34953-4103
Phone number: 772-343-7425
Mailing Address
KIDNEY CENTER OF TRADITION LLC
1631 SW GATLIN BLVD SUITE 100
PORT ST LUCIE, FL 34953-4103
Phone number: 772-343-7425