| NPI | 1497345763 |
|---|---|
| Doing Business As | COCOA BEACH DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer 303-405-5117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |