Organization
DELTA DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDIDI NWAMU DO (CEO)
(407) 457-7808
Entity
Organization
Contact information
Practice address
900 PLYMOUTH AVE, ORLANDO, FL 32805-3744
(407) 824-1014
(407) 247-6910
Mailing address
900 PLYMOUTH AVE, ORLANDO, FL 32805-3744
(407) 451-1208
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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