Organization
WISNER DIALYSIS LLC
Active
Other names
Clermont Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 734-5003
Entity
Organization
Contact information
Practice address
1350 N HANCOCK RD, CLERMONT, FL 34711-0000
(615) 320-4286
(866) 594-2893
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4286
(866) 594-2893
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
FL
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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