| NPI | 1972628782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREEN MARINO CFO 239-594-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: FL pendfing) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-11-24 |