| NPI | 1336116482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE A. CLARK Business Manager 727-733-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-05-22 |