Organization
ARA-BOCA RATON DIALYSIS LLC
Active
Other names
Renal Associates of Boca Raton
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 211, BOCA RATON, FL 33496-2659
(561) 893-6878
(561) 893-6874
Mailing address
1905 CLINT MOORE RD, SUITE 211, BOCA RATON, FL 33496-2658
(561) 893-6878
(561) 893-6874
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
—
8903727 00
—
FL
Enumeration date
07/04/2006
Last updated
01/11/2023
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