Organization
FLORIDA DIALYSIS CENTER OF ORLANDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1711 35TH ST, UNITS 109 & 110, ORLANDO, FL 32839-8860
(407) 648-9722
(407) 648-9723
Mailing address
1711 35TH ST, UNITS 109 &110, ORLANDO, FL 32839-8860
(407) 648-9722
(407) 648-9723
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132700
—
FL
Enumeration date
03/03/2010
Last updated
01/14/2023
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