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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
08/17/2024
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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
Deltona
State
Florida
Zip
32725-6389
Phone Number
386-574-0225
Fax Number
386-574-6460
person
Provider Business Mailing Address Details
Address
1200 Deltona Blvd
City
Deltona
State
Florida
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
261QE0700X
License No.
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Definition
Definition to come...
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