FORT MYERS KIDNEY CENTER LLC NPI 1093154916

NPI Information

FORT MYERS KIDNEY CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Myers, FL. FORT MYERS KIDNEY CENTER LLC NPI is 1093154916. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Myers Kidney Care Center.

The provider's business location address is:

14181 S TAMIAMI TRL
SUITE 120
FORT MYERS, FL
ZIP 33912-939
Phone: (239) 415-1062
Fax: (239) 415-1063

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 3/12/2020.

Taxonomy Codes

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