KIDNEY SPA LLC

MIAMI, FL
NPI1316127921
Entity TypeOrganization
Authorized ContactJUAN M CUELLAR
Medical Director
305-329-2900
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2007-11-12
Last Update Date2012-10-05
Business Address
KIDNEY SPA LLC
219 NW 12TH AVE UNIT C4
MIAMI, FL 33128-2205
Phone number: 305-329-2900
Mailing Address
KIDNEY SPA LLC
219 NW 12TH AVE SUITE C5
MIAMI, FL 33128-2205
Phone number: 305-329-2900