Organization
PERITONEAL DIALYSIS SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE A. CLARK (BUSINESS MANAGER)
(727) 738-5255
Entity
Organization
Contact information
Practice address
1964 BAYSHORE BLVD, SUITE C, DUNEDIN, FL 34698-2576
(727) 738-5255
(727) 733-0431
Mailing address
1964 BAYSHORE BLVD SUITE C, DUNEDIN, FL 34698-2576
(727) 738-5255
(727) 733-0431
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
FL
Other
Enumeration date
08/25/2005
Last updated
04/10/2008
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