NPI | 1750493599 |
---|---|
Doing Business As | BMA DELTONA |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Treasurer 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-06-05 |