institution
Kidney Life Incorporated
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Seminole, Florida
NPI 1760523294

Kidney Life Incorporated is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in St Petersburg, FL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Kidney Life Incorporated practices in Seminole, FL. The NPI Number for Kidney Life Incorporated is 1760523294 and holds a License No. (Florida).

The current practice location address for Kidney Life Incorporated is 10755 Park Blvd, Seminole, FL and can be reached out via phone at 727-393-5551 and via fax at 727-398-1971.

Location: 10755 Park Blvd, Seminole, FL, 33743-7069
institution
Provider Profile Details
NPI Number
1760523294
Provider Name
Kidney Life Incorporated
Credential
Provider Entity Type
Organization
Address
10755 Park Blvd, Seminole, FL, 33743-7069
Phone Number
727-393-5551
Fax Number
727-398-1971
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200573500 05 FL
V19 01 FL BCBS FL
institution
Provider Business Practice Location Address Details
Address
10755 Park Blvd
City
State
Zip
33772-5420
Phone Number
727-393-5551
Fax Number
727-398-1971
person
Provider Business Mailing Address Details
Address
10755 Park Blvd
City
State
Zip
33772-5420
Phone Number
727-393-5551
Fax Number
727-398-1971
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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