PURE LIFE RENAL OF STOUGHTON LLC

HOLLYWOOD, FL
NPI1831550201
Entity TypeOrganization
Authorized ContactJEFF FERNANDEZ
Chief Financial Officer
954-962-5733
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2016-03-14
Last Update Date2021-10-08
Business Address
PURE LIFE RENAL OF STOUGHTON LLC
4000 HOLLYWOOD BLVD SUITE 300-N
HOLLYWOOD, FL 33021-1242
Phone number: 954-962-5733
Mailing Address
PURE LIFE RENAL OF STOUGHTON LLC
907 SUMNER ST MEDICAL OFFICE BLDG M107
STOUGHTON, MA 02072-3374
Phone number: