Organization · Type 2 NPI

Prime Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Winter Garden, FL

NPI number 1063941565 Active

Practice location

12200 West Colonial Drive, Suite 102
Winter Garden, FL 34787

Fax (888) 349-8679

Mailing address

100 East Sample Road, Suite 220
Pompano Beach, FL 33064

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1063941565

Prime Dialysis, LLC's National Provider Identifier is 1063941565, issued on Jun 8, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Winter Garden, FL. The record was last updated on Jun 8, 2017.