Organization
UNIVERSITY OF SOUTH FLORIDA DIALYSIS CENTER
Active
Organization
UNIVERSITY OF SOUTH FLORIDA DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZZY HERNANDEZ (UNIT ADMINISTRATOR)
(813) 632-7918
Entity
Organization
Contact information
Practice address
10770 N 46TH STREET SUITE A 100, TAMPA, FL 33617
(813) 632-7918
(813) 632-7941
Mailing address
10770 N 46TH STREET SUITE A 100, TAMPA, FL 33617
(813) 632-7918
(813) 632-7941
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
—
030279101
—
FL
Enumeration date
10/03/2006
Last updated
06/17/2008
Update your record
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