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Brache Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tampa, Florida
NPI 1871971556

Brache 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. Brache Dialysis Llc practices in Tampa, FL. The NPI Number for Brache Dialysis Llc is 1871971556 and holds a License No. (Florida).

The current practice location address for Brache Dialysis Llc is 2205 W Kennedy Blvd, Tampa, FL and can be reached out via phone at 813-254-3638 and via fax at 813-254-3809.

Location: 2205 W Kennedy Blvd, Tampa, FL, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871971556
Provider Name
Brache Dialysis Llc
Credential
Provider Entity Type
Organization
Address
2205 W Kennedy Blvd, Tampa, FL, 37027-7569
Phone Number
813-254-3638
Fax Number
813-254-3809
Provider Enumeration Date
05/13/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
017606800 05 FL
institution
Provider Business Practice Location Address Details
Address
2205 W Kennedy Blvd
City
Tampa
State
Florida
Zip
33606-1536
Phone Number
813-254-3638
Fax Number
813-254-3809
person
Provider Business Mailing Address Details
Address
2205 W Kennedy Blvd
City
Tampa
State
Florida
Zip
33606-1536
Phone Number
813-254-3638
Fax Number
813-254-3809
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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