Organization
FLAMINGO PARK KIDNEY CENTER INC
Active
Other names
Flamingo Park Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
901 E 10TH AVE, BAY 17, HIALEAH, FL 33010-3762
(305) 884-5677
(305) 884-2466
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
200526301
—
FL
Enumeration date
03/03/2006
Last updated
08/12/2024
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