| NPI | 1912420753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY WOODS Administrator 954-764-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |