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Organization

ADVANCED DIALYSIS INSTITUTE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIRYAM S MATHEWS R.N. (ADMINISTRATOR / DON)
(305) 827-8399
Entity
Organization

Contact information

Practice address
7150 W 20TH AVE, SUITE 109, HIALEAH, FL 33016-5529
(305) 827-8399
(305) 827-1204
Mailing address
7150 W 20TH AVE, SUITE 109, HIALEAH, FL 33016-5529
(305) 827-8399
(305) 827-1204

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
211029600
FL
Enumeration date
06/24/2006
Last updated
10/27/2011
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