Organization · Type 2 NPI
West Orange Palm Coast Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Palm Coast, FL
NPI number
1972074086
Active
Practice location
57 Town Ct Ste 118
Palm Coast, FL 32164-2425
Mailing address
1210 E Plant St Ste 120
Winter Garden, FL 34787-2995
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 1972074086
West Orange Palm Coast Dialysis Center LLC's National Provider Identifier is 1972074086, issued on Dec 16, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Palm Coast, FL. The record was last updated on Dec 16, 2018.