Organization
FLORIDA DIALYSIS CENTER OF CELEBRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
5051 W IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34746-5345
(407) 397-2588
(407) 397-2589
Mailing address
5051 W IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34746-5345
(407) 397-2588
(407) 397-2589
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
—
015358600
—
FL
Enumeration date
12/03/2014
Last updated
01/10/2023
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