| NPI | 1699322933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JOYNER Administrator 954-729-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-11-27 |