| 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 |