| NPI | 1720062425 |
|---|---|
| Doing Business As | JUPITER KIDNEY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | MARIETTA HOLMES Administrator 561-744-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |