| NPI | 1194223586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W JEFFERS Adminstrator 407-808-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |