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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