LAKE CLARKE SHORES DIALYSIS CENTER LLC NPI 1215269923

NPI Information

LAKE CLARKE SHORES DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in West Palm Beach, FL. LAKE CLARKE SHORES DIALYSIS CENTER, LLC NPI is 1215269923. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Lake Clarke Shores Dialysis Center.

The provider's business location address is:

3047 FOREST HILL BLVD
WEST PALM BEACH, FL
ZIP 33406-908
Phone: (561) 641-9611
Fax: (561) 641-9612

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 10D2004045 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2010 and was last updated on 10/17/2023.

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:

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