| NPI | 1215959184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMO ANGELO V. BARTOLOME President 954-770-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-02-08 |