Organization
LEGACY DIALYSIS OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ANJOS SANTOS (COO)
(954) 781-7741
Entity
Organization
Contact information
Practice address
211 GIBSON ST NW STE 209, LEESBURG, VA 20176-2115
(954) 781-7741
(888) 349-8679
Mailing address
50 E SAMPLE RD STE 301, POMPANO BEACH, FL 33064-3552
(954) 781-7741
(888) 349-8679
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
02/26/2025
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