| NPI | 1255833844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE MISENAS Administrator/CEO 305-318-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |