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Organization
TOTAL KIDNEY OVERSIGHT PA
Active
Organization
TOTAL KIDNEY OVERSIGHT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREEN MARINO MBA (CFO)
(239) 513-1002
Entity
Organization
Contact information
Practice address
9400 GLADIOLUS DR, FORT MYERS, FL 33908-6699
(239) 999-9999
Mailing address
9400 GLADIOLUS DR, FORT MYERS, FL 33908-6699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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