Organization
SOUTH FLORIDA DIALYSIS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YIZEL AMADOR (CEO)
(786) 400-1379
Entity
Organization
Contact information
Practice address
8057 NW 155TH ST, MIAMI LAKES, FL 33016-5874
(786) 400-1379
(786) 513-0428
Mailing address
8057 NW 155TH ST, MIAMI LAKES, FL 33016-5874
(786) 400-1379
(786) 513-0428
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
01/13/2012
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