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Mautino Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Boynton Beach, Florida
NPI 1255732202

Mautino 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. Mautino Dialysis Llc practices in Boynton Beach, FL. The NPI Number for Mautino Dialysis Llc is 1255732202 and holds a License No. (Florida).

The current practice location address for Mautino Dialysis Llc is 10150 Hagen Ranch Rd, Boynton Beach, FL and can be reached out via phone at 561-736-6096 and via fax at 561-738-6190.

Location: 10150 Hagen Ranch Rd, Boynton Beach, FL, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255732202
Provider Name
Mautino Dialysis Llc
Credential
Provider Entity Type
Organization
Address
10150 Hagen Ranch Rd, Boynton Beach, FL, 37027-7569
Phone Number
561-736-6096
Fax Number
561-738-6190
Provider Enumeration Date
09/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015094500 05 FL
institution
Provider Business Practice Location Address Details
Address
10150 Hagen Ranch Rd
City
Boynton Beach
State
Florida
Zip
33437-3776
Phone Number
561-736-6096
Fax Number
561-738-6190
person
Provider Business Mailing Address Details
Address
10150 Hagen Ranch Rd
City
Boynton Beach
State
Florida
Zip
33437-3776
Phone Number
561-736-6096
Fax Number
561-738-6190
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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