Organization
REEF DIALYSIS LLC
Active
Other names
Home Options of Pensacola
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
700 E CERVANTES ST STE B, PENSACOLA, FL 32501-3489
(850) 438-9826
(850) 438-9830
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009383200
—
FL
Enumeration date
09/18/2012
Last updated
05/17/2024
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