Organization · Type 2 NPI

East FT Lauderdale LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Lauderdale, FL

NPI number 1285690248 Active

Practice location

1301 S Andrews Ave, Ste 101
Fort Lauderdale, FL 33316-1823

Call (954) 761-1273 Map

Fax (954) 467-0384

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...

Another provider at this address

Dionna Joy HearnRegistered Dietitian Fort Lauderdale, FL NPI 1417122839

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NPI record

NPI: 1285690248
Entity type: Organization (Type 2)
Issued: Apr 26, 2006
Last updated: Jan 28, 2024
Status: Active

Other names

<unavail>
East FT Lauderdale Dialysis Center · doing business as
East FT Lauderdale Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1285690248

East FT Lauderdale LLC's National Provider Identifier is 1285690248, issued on Apr 26, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 28, 2024.