Organization
MOBIL DIALYSIS, INC
Active
Other names
DialiCare
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FRANCES DOUGLAS (OWNER)
(407) 324-4023
Entity
Organization
Contact information
Practice address
1230 CENTRAL PARK DR, SANFORD, FL 32771-6606
(407) 324-4023
(407) 328-6925
Mailing address
1230 CENTRAL PARK DR, SANFORD, FL 32771-6606
(407) 324-4023
(407) 328-6925
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
—
—
163WH0500X
Hemodialysis Registered Nurse
—
—
2472R0900X
Renal Dialysis Technician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/01/2023
Last updated
08/02/2023
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