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Organization

PRIME DIALYSIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIMI BARRERA (MANAGING MEMBER)
(305) 778-8277
Entity
Organization

Contact information

Practice address
12200 WEST COLONIAL DRIVE, SUITE 102, WINTER GARDEN, FL 34787
(954) 781-7741
(888) 349-8679
Mailing address
100 EAST SAMPLE ROAD, SUITE 220, POMPANO BEACH, FL 33064
(954) 781-7741
(888) 349-8679

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
FL

Other

Enumeration date
06/08/2017
Last updated
06/08/2017
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