institution
St. Augustine Artificial Kidney Center, Ltd.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in St Augustine, Florida
NPI 1013997600

St. Augustine Artificial Kidney Center, Ltd. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Plantation, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. St. Augustine Artificial Kidney Center, Ltd. practices in St Augustine, FL. The NPI Number for St. Augustine Artificial Kidney Center, Ltd. is 1013997600 and holds a License No. (Florida).

The current practice location address for St. Augustine Artificial Kidney Center, Ltd. is 264 Southpark Cir E, St Augustine, FL and can be reached out via phone at 904-808-0445 and via fax at 904-808-0446.

Location: 264 Southpark Cir E, St Augustine, FL, 33317-2243
institution
Provider Profile Details
NPI Number
1013997600
Provider Name
St. Augustine Artificial Kidney Center, Ltd.
Credential
Provider Entity Type
Organization
Address
264 Southpark Cir E, St Augustine, FL, 33317-2243
Phone Number
904-808-0445
Fax Number
904-808-0446
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V7A 01 FL BC/BS PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
264 Southpark Cir E
City
State
Zip
32086-5137
Phone Number
904-808-0445
Fax Number
904-808-0446
person
Provider Business Mailing Address Details
Address
264 Southpark Cir E
City
State
Zip
32086-5137
Phone Number
904-808-0445
Fax Number
904-808-0446
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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