Organization
PURE LIFE RENAL OF COOL SPRINGS, LLC
Active
Organization
PURE LIFE RENAL OF COOL SPRINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF FERNANDEZ (CFO)
(954) 962-5734
Entity
Organization
Contact information
Practice address
1648 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8019
(954) 962-5734
Mailing address
4000 HOLLYWOOD BLVD STE 300N, HOLLYWOOD, FL 33021-1242
(216) 264-0284
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
12/30/2020
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