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WEST PALM DIALYSIS LLC NPI 1295752095


NPI Information

NPI: 1295752095
Provider Name: WEST PALM DIALYSIS, LLC

Doing Business As: RENAL CARE GROUP, WEST PALM

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1522 N DIXIE HWY
WEST PAL DIALYSIS, LLC - CKD SERVICES
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 833-5355
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WEST PALM DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in West Palm Beach, FL. WEST PALM DIALYSIS, LLC NPI is 1295752095. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group, West Palm.

The provider's business location address is:

1522 N DIXIE HWY
WEST PAL DIALYSIS, LLC - CKD SERVICES
WEST PALM BEACH, FL
ZIP 33401-720
Phone: (561) 833-5355
Fax: (561) 833-9193

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-2668.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 11/27/2007.


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: 4/28/2024

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