institution
Lake Gray Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jacksonville, Florida
NPI 1588017784

Lake Gray Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jacksonville, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Lake Gray Dialysis Center Llc practices in Jacksonville, FL. The NPI Number for Lake Gray Dialysis Center Llc is 1588017784 and holds a License No. (Florida).

The current practice location address for Lake Gray Dialysis Center Llc is 6196 Lake Gray Blvd, Jacksonville, FL and can be reached out via phone at 904-772-0933 and via fax at 904-772-0934.

Location: 6196 Lake Gray Blvd, Jacksonville, FL, 32244-7503
institution
Provider Profile Details
NPI Number
1588017784
Provider Name
Lake Gray Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
6196 Lake Gray Blvd, Jacksonville, FL, 32244-7503
Phone Number
904-772-0933
Fax Number
904-772-0934
Provider Enumeration Date
07/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6196 Lake Gray Blvd
City
State
Zip
32244-7503
Phone Number
904-772-0933
Fax Number
904-772-0934
person
Provider Business Mailing Address Details
Address
6196 Lake Gray Blvd
City
State
Zip
32244-7503
Phone Number
904-772-0933
Fax Number
904-772-0934
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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