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Goldtree Kidney Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port St Lucie, Florida
NPI 1346439387

Goldtree Kidney Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Port St Lucie, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Goldtree Kidney Center Llc practices in Port St Lucie, FL. The NPI Number for Goldtree Kidney Center Llc is 1346439387 and holds a License No. (Florida).

The current practice location address for Goldtree Kidney Center Llc is 1407 Se Goldtree Dr Ste A, Port St Lucie, FL and can be reached out via phone at 772-335-8677 and via fax at 772-335-4489.

Location: 1407 Se Goldtree Dr Ste A, Port St Lucie, FL, 34952-7562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346439387
Provider Name
Goldtree Kidney Center Llc
Credential
Provider Entity Type
Organization
Address
1407 Se Goldtree Dr Ste A, Port St Lucie, FL, 34952-7562
Phone Number
772-335-8677
Fax Number
772-335-4489
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000100700 05 FL
institution
Provider Business Practice Location Address Details
Address
1407 Se Goldtree Dr Ste A
City
Port St Lucie
State
Florida
Zip
34952-7562
Phone Number
772-335-8677
Fax Number
772-335-4489
person
Provider Business Mailing Address Details
Address
1407 Se Goldtree Dr Ste A
City
Port St Lucie
State
Florida
Zip
34952-7562
Phone Number
772-335-8677
Fax Number
772-335-4489
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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