| NPI | 1508233537 |
|---|---|
| Doing Business As | DAVITA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LAUREN EDGINGTON CFO 727-286-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME116650) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2017-07-21 |