institution
Gaviota Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Deltona, Florida
NPI 1104217918

Gaviota Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Gaviota Dialysis, Llc practices in Deltona, FL. The NPI Number for Gaviota Dialysis, Llc is 1104217918 and holds a License No. (Florida).

The current practice location address for Gaviota Dialysis, Llc is 1200 Deltona Blvd, Deltona, FL and can be reached out via phone at 386-574-0225 and via fax at 386-574-6460.

Location: 1200 Deltona Blvd, Deltona, FL, 37027-7569
institution
Provider Profile Details
NPI Number
1104217918
Provider Name
Gaviota Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
1200 Deltona Blvd, Deltona, FL, 37027-7569
Phone Number
386-574-0225
Fax Number
386-574-6460
Provider Enumeration Date
02/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015058200 05 FL
institution
Provider Business Practice Location Address Details
Address
1200 Deltona Blvd
City
State
Zip
32725-6389
Phone Number
386-574-0225
Fax Number
386-574-6460
person
Provider Business Mailing Address Details
Address
1200 Deltona Blvd
City
State
Zip
32725-6389
Phone Number
386-574-0225
Fax Number
386-574-6460
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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