Organization
KIDNEY CARE OF BONITA SPRINGS LLC
Active
Organization
KIDNEY CARE OF BONITA SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO DUMENIGO (CHIEF EXECUTIVE OFFICER)
(305) 448-6261
Entity
Organization
Contact information
Practice address
26381 S TAMIAMI TRL STE 122, BONITA SPRINGS, FL 34134-7803
(239) 388-7770
(239) 319-5826
Mailing address
4960 SW 72ND AVE STE 208, MIAMI, FL 33155-5549
(305) 448-6261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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