Organization
SUPER NOVA DIALYSIS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICITA CASAS (PRESIDENT)
(305) 431-3191
Entity
Organization
Contact information
Practice address
5544 SW 8TH ST, CORAL GABLES, FL 33134-2220
(786) 715-5484
(786) 206-9009
Mailing address
5544 SW 8TH ST, CORAL GABLES, FL 33134-2220
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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