Organization · Type 2 NPI
Dennar Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Port St. Lucie, FL
NPI number
1558095513
Active
Practice location
1631 SW Gatlin Blvd Ste 100
Port St. Lucie, FL 34953-4103
Fax (772) 343-7687
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...
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About NPI 1558095513
Dennar Dialysis, LLC's National Provider Identifier is 1558095513, 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 Mar 12, 2025.