Organization
RENAL CARE OF WHITE OAK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA D. FLOOD (COO)
(305) 534-5102
Entity
Organization
Contact information
Practice address
1303 LINCOLN WAY, SUITE A, WHITE OAK, PA 15131-1603
(412) 673-1191
(412) 678-1746
Mailing address
407 LINCOLN RD, SUITE 700, MIAMI BEACH, FL 33139-3020
(305) 534-5102
(305) 673-1916
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
—
1014279800001
—
PA
Enumeration date
02/22/2006
Last updated
05/30/2008
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