| NPI | 1255990529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY GRAVES Chief Operating Officer 772-349-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |