Organization · Type 2 NPI
Haverhills Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cocoa, FL
NPI number
1497345763
Active
Practice location
2300 State Road 524 Ste 106
Cocoa, FL 32926-5894
Fax (321) 482-5868
Mailing address
5200 Virginia Way
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...
2 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Cocoa
About NPI 1497345763
Haverhills Dialysis, LLC's National Provider Identifier is 1497345763, issued on Jan 21, 2021. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cocoa, FL. The record was last updated on Jan 21, 2021.