Organization
INTERNATIONAL DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L BURRIER R.N. (PRESIDENT)
(954) 474-7701
Entity
Organization
Contact information
Practice address
1730 HAMLIN ST NE, WASHINGTON, DC 20018-1838
(954) 474-7701
(954) 474-7702
Mailing address
7061 CYPRESS RD, SUITE 104, PLANTATION, FL 33317-2243
(954) 474-7701
(954) 474-7702
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
PENDING
DC
Other
Enumeration date
08/10/2009
Last updated
08/24/2009
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