| NPI | 1649473828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCE A PHILLIPS Administrator 941-747-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-07-07 |