| NPI | 1295510071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINYINKA AWOSIKA Member Manager 321-710-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-05-28 |