Organization
CENTER FOR HOME DIALYSIS AT LAKEWOOD RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURALIDHAR K ACHARYA MD (CEO)
(727) 808-2227
Entity
Organization
Contact information
Practice address
1939 WORTH COURT, LAKEWOOD RANCH, FL 34211
(727) 215-0940
(727) 287-6305
Mailing address
PO BOX 1685, PALM HARBOR, FL 34682-1685
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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