Organization
FIRST CLASS KIDNEY CARE DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLINE CHARLES (MGR)
(561) 860-2588
Entity
Organization
Contact information
Practice address
3170 N FEDERAL HWY STE 107, LIGHTHOUSE POINT, FL 33064-6726
(561) 860-2588
Mailing address
3170 N FEDERAL HWY STE 107, LIGHTHOUSE POINT, FL 33064-6726
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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