| NPI | 1598483638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALENA LAGO Owner 305-646-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-06 |