institution
Alterra Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port Orange, Florida
NPI 1568993947

Alterra 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. Alterra Dialysis Llc practices in Port Orange, FL. The NPI Number for Alterra Dialysis Llc is 1568993947 and holds a License No. (Florida).

The current practice location address for Alterra Dialysis Llc is 3997 S Nova Rd, Port Orange, FL and can be reached out via phone at 386-761-7961 and via fax at 386-763-2150.

Location: 3997 S Nova Rd, Port Orange, FL, 37027-7569
institution
Provider Profile Details
NPI Number
1568993947
Provider Name
Alterra Dialysis Llc
Credential
Provider Entity Type
Organization
Address
3997 S Nova Rd, Port Orange, FL, 37027-7569
Phone Number
386-761-7961
Fax Number
386-763-2150
Provider Enumeration Date
03/27/2017
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10047330 05 FL
institution
Provider Business Practice Location Address Details
Address
3997 S Nova Rd
City
State
Zip
32127-9296
Phone Number
386-761-7961
Fax Number
386-763-2150
person
Provider Business Mailing Address Details
Address
3997 S Nova Rd
City
State
Zip
32127-9296
Phone Number
386-761-7961
Fax Number
386-763-2150
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Florida)
Definition
Definition to come...
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