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71120 VENTURES LLC NPI 1205411154


NPI Information

NPI: 1205411154
Provider Name: 71120 VENTURES, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2213610

Address:
326 DEL PRADO BLVD N STE 101
CAPE CORAL, FL
ZIP 33909
Phone: (239) 689-7854
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71120 VENTURES, LLC is an end-stage renal disease (esrd) treatment clinic center in Cape Coral, FL. 71120 VENTURES, LLC NPI is 1205411154. The provider is registered as an organization entity type.

The provider's business location address is:

326 DEL PRADO BLVD N STE 101
CAPE CORAL, FL
ZIP 33909-287
Phone: (239) 689-7854
Fax: (239) 689-7829

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 10D2213610 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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