| NPI | 1801438130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOCORRO MIRYAM MATHEWS A Dministrator 954-274-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |