Organization · Type 2 NPI
Craville Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Port St. Lucie, FL
NPI number
1295469252
Active
Practice location
1407 SE Goldtree Dr Ste A
Port St. Lucie, FL 34952-7562
Fax (772) 335-4489
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 1295469252
Craville Dialysis, LLC's National Provider Identifier is 1295469252, issued on Jul 14, 2022. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 16, 2024.