COASTAL KIDNEY CENTERS LLC is an end-stage renal disease (esrd) treatment clinic center in Panama City, FL. COASTAL KIDNEY CENTERS LLC NPI is 1255308763. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Kidney Centers Llc.
The provider's business location address is:
510 N MACARTHUR AVE
PANAMA CITY, FL
ZIP 32401-636
Phone: (850) 914-0824
Fax: (850) 914-2267
The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.
The CLIA number assigned to this NPI record is 10D1031375 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/2/2006 and was last updated on 7/11/2007.