| NPI | 1720538556 |
|---|---|
| Doing Business As | JACKSONVILLE WESTSIDE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN D. WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-11-29 |