Organization · Type 2 NPI

Mautino Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Boynton Beach, FL

NPI number 1255732202 Active

Practice location

10150 Hagen Ranch Rd, Ste 101
Boynton Beach, FL 33437-3776

Fax (561) 738-6190

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

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 1255732202

Mautino Dialysis LLC's National Provider Identifier is 1255732202, issued on Sep 9, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Boynton Beach, FL. The record was last updated on Apr 11, 2025.