Organization
OKEECHOBEE KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN WILCOX (CFO)
(978) 922-3080
Entity
Organization
Contact information
Practice address
201 SW 16TH ST, OKEECHOBEE, FL 34974-6117
(863) 467-7654
(863) 467-9248
Mailing address
201 SW 16TH ST, OKEECHOBEE, FL 34974-6117
(863) 467-7654
(863) 467-9248
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
03/16/2017
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