REVINO DIALYSIS, LLC

FORT PIERCE, FL
NPI1841924800
Doing Business AsFORT PIERCE KIDNEY CARE
Entity TypeOrganization
Authorized ContactSAMUEL T. WEY
VP, Licensure & Certification
615-341-6641
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2022-07-14
Last Update Date2024-04-24
Business Address
REVINO DIALYSIS, LLC
2000 HARTMAN RD STE 2
FORT PIERCE, FL 34947-4413
Phone number: 772-467-1117
Mailing Address
REVINO DIALYSIS, LLC
5200 VIRGINIA WAY
BRENTWOOD, TN 37027-7569
Phone number: