Organization
PALMETTO DIALYSIS CENTER LLC
Active
Other names
Plantation Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
3820 US HIGHWAY 301 N, ELLENTON, FL 34222-2331
(941) 722-3733
(941) 722-3766
Mailing address
3820 US HIGHWAY 301 N, ELLENTON, FL 34222-2331
(941) 722-3733
(941) 722-3766
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
—
006344100
—
FL
Enumeration date
08/17/2007
Last updated
01/10/2023
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