| NPI | 1568993947 |
|---|---|
| Doing Business As | PORT ORANGE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-04-01 |