Organization
NORTHRIDGE DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBARDS M.D. (MEDICAL DIRECTOR)
(239) 594-8758
Entity
Organization
Contact information
Practice address
4400 WATERMELON ROAD, NORTHPORT, AL 35473
(239) 594-8758
(239) 594-8762
Mailing address
1750 SW HEALTH PKWY, NAPLES, FL 34109-0420
(239) 594-8758
(239) 594-8762
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
PENDING
—
Other
Enumeration date
10/15/2008
Last updated
10/17/2008
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