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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