KIDNEY HOME, LLC

ORANGE CITY, FL
NPI1598191272
Entity TypeOrganization
Authorized ContactDAN T TUDOR
Owner
407-323-5047
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: FL  ME94020)
Enumeration Date2013-09-25
Last Update Date2013-09-26
Business Address
KIDNEY HOME, LLC
2751 ENTERPRISE RD SUITE 215
ORANGE CITY, FL 32763-8256
Phone number: 407-323-5047
Mailing Address
KIDNEY HOME, LLC
PO BOX 1881
SANFORD, FL 32772-1881
Phone number: 407-323-5047