Organization
MELBOURNE KIDNEY CENTER INC
Active
Organization
MELBOURNE KIDNEY CENTER INC
Active
Other names
HARBOR CITY DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SADALIA BARTMAN GROSS RN (ADMINISTRATOR)
(321) 724-0431
Entity
Organization
Contact information
Practice address
280 N WICKHAM RD, MELBOURNE, FL 32935-8650
(321) 308-5005
(321) 308-5002
Mailing address
280 N WICKHAM RD, MELBOURNE, FL 32935-8650
(321) 308-5005
(321) 308-5002
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2005
Last updated
12/22/2010
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