| NPI | 1356104418 |
|---|---|
| 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 | 2024-02-01 |
| Last Update Date | 2024-02-01 |