Organization
ARA-TITUSVILLE DIALYSIS LLC
Active
Other names
Titusville Dialysis and Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
801 GARDEN ST STE B, TITUSVILLE, FL 32796-3408
(321) 567-0122
(321) 567-0124
Mailing address
801 GARDEN ST STE B, TITUSVILLE, FL 32796-3408
(321) 567-0122
(321) 567-0124
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
—
890112100
—
FL
Enumeration date
08/31/2006
Last updated
01/10/2023
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