Organization
BRIGHT DIALYSIS LLC
Active
Other names
Bright Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E ROTTURA (MANAGER)
(561) 613-8830
Entity
Organization
Contact information
Practice address
2000 HARTMAN RD, FORT PIERCE, FL 34947-4412
(772) 467-1117
(772) 595-9340
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(877) 735-8016
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
—
001826000
—
FL
Enumeration date
08/13/2009
Last updated
01/06/2016
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