NPI | 1952307589 |
---|---|
Doing Business As | PALM BAY KIDNEY CENTER |
Entity Type | Organization |
Authorized Contact | AMY KOZSUCH CEO 407-843-6110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2005-06-28 |
Last Update Date | 2025-05-07 |