Organization
THE KIDNEY GROUP OF CLEARWATER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE A CLARK (VICE PRESIDENT)
(727) 733-2040
Entity
Organization
Contact information
Practice address
617 LAKEVIEW RD, SUITE B, CLEARWATER, FL 33756-3338
(727) 441-8590
(727) 441-8805
Mailing address
1964 BAYSHORE BLVD, SUITE C, DUNEDIN, FL 34698-2576
(727) 733-2040
(727) 733-0431
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
FL
Other
Enumeration date
07/13/2006
Last updated
11/30/2007
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