| NPI | 1447442116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MITCHELL Administrator 954-340-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2022-07-21 |