Organization
FLAMINGO PARK KIDNEY CENTER INC
Active
Other names
Interamerican Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7815 CORAL WAY, STE 115, MIAMI, FL 33155-6541
(305) 261-4823
(305) 264-7263
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
212284702
—
FL
Enumeration date
03/03/2006
Last updated
05/24/2024
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