Organization · Type 2 NPI
Grand Dialysis Services LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pembroke Pines, FL
NPI number
1659745149
Active
Practice location
500 N. Hiatus Road, Suite 105
Pembroke Pines, FL 33026
Mailing address
7765 Johnson St
Pembroke Pines, FL 33024-6856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | L15000170783 (FL) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1659745149
Grand Dialysis Services LLC's National Provider Identifier is 1659745149, issued on Nov 20, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pembroke Pines, FL. The record was last updated on Aug 11, 2020.