Organization · Type 2 NPI
Magnolia Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sarasota, FL
NPI number
1194125773
Active
Practice location
6960 Professional Pkwy E, Units 4 & 5
Sarasota, FL 34240-8428
Fax (941) 907-4720
Mailing address
5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1194125773
Magnolia Dialysis LLC's National Provider Identifier is 1194125773, issued on Sep 2, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sarasota, FL. The record was last updated on Nov 18, 2024.