institution
Dialysis & Kidney Center Of North Brevard Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Titusville, Florida
NPI 1346358538

Dialysis & Kidney Center Of North Brevard Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Mims, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dialysis & Kidney Center Of North Brevard Inc practices in Titusville, FL. The NPI Number for Dialysis & Kidney Center Of North Brevard Inc is 1346358538 and holds a License No. 05 0904 (Florida).

The current practice location address for Dialysis & Kidney Center Of North Brevard Inc is 830 Century Medical Dr, Titusville, FL and can be reached out via phone at 321-269-6270 and via fax at 321-383-1625.

Location: 830 Century Medical Dr, Titusville, FL, 32754-1067
institution
Provider Profile Details
NPI Number
1346358538
Provider Name
Dialysis & Kidney Center Of North Brevard Inc
Credential
Provider Entity Type
Organization
Address
830 Century Medical Dr, Titusville, FL, 32754-1067
Phone Number
321-269-6270
Fax Number
321-383-1625
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0899219 01 FL AETNA
V4G 01 FL BLUE SHIELD
210743100 05 FL
institution
Provider Business Practice Location Address Details
Address
830 Century Medical Dr
City
State
Zip
32796-2149
Phone Number
321-269-6270
Fax Number
321-383-1625
person
Provider Business Mailing Address Details
Address
830 Century Medical Dr
City
State
Zip
32796-2149
Phone Number
321-269-6270
Fax Number
321-383-1625
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
05 0904 (Florida)
Definition
Definition to come...
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