| NPI | 1972291375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO DELGADO Administrator 813-605-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-05-01 |