Organization
KIDNEY CARE OF LABELLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO A DUMENIGO (CHIEF EXECUTIVE OFFICER)
(305) 448-6261
Entity
Organization
Contact information
Practice address
50 N BRIDGE ST STE 200, LABELLE, FL 33935-5083
(863) 339-7040
Mailing address
4960 SW 72ND AVE STE 208, MIAMI, FL 33155-5549
(305) 448-6261
(305) 448-6268
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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