Organization · Type 2 NPI
Pure Life Renal of Sanford, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sanford, FL
NPI number
1770163941
Active
Practice location
2680 S Orlando Dr
Sanford, FL 32773-5339
Mailing address
4000 Hollywood Blvd Ste 300N
Hollywood, FL 33021-1242
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 1770163941
Pure Life Renal of Sanford, LLC's National Provider Identifier is 1770163941, issued on Apr 12, 2021. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sanford, FL. The record was last updated on Aug 12, 2022.