Organization
DIALYSUITES BARTRAM PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANAE C PHILLIIPS MUNJAL (CEO)
(904) 566-2951
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 305, JACKSONVILLE, FL 32258-5236
(904) 566-2951
Mailing address
13241 BARTRAM PARK BLVD UNIT 305, JACKSONVILLE, FL 32258-5236
(904) 566-2951
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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