NPI | 1306149737 |
---|---|
Former Legal Business Name | ELITE PERITONEAL DIALYSIS OF MIAMI BEACH,LLC |
Entity Type | Organization |
Authorized Contact | BETTY JEAN VERBAL Administrator 305-318-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2010-12-07 |
Last Update Date | 2010-12-07 |