| NPI | 1821178534 |
|---|---|
| Doing Business As | BMA SOUTH COLLIER |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Treasurer 800-662-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |