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Organization
WELLCARE DIALYSIS CENTER,LLC
Active
Organization
WELLCARE DIALYSIS CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMMANUELLA BAZILME NERELUS RN (OWNER)
(561) 315-1227
Entity
Organization
Contact information
Practice address
4589 PURDUE DR, BOYNTON BEACH, FL 33436-7715
(561) 315-1227
Mailing address
4589 PURDUE DR, BOYNTON BEACH, FL 33436-7715
(561) 315-1227
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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