| NPI | 1194170852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JEAN VERBAL Admin. 786-216-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2023-02-03 |