Organization
HOME DIALYSIS OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON (OWNER)
(847) 774-5300
Entity
Organization
Contact information
Practice address
5409 N STATE ROAD 7, TAMARAC, FL 33319-2921
(847) 593-8460
Mailing address
PO BOX 971, NORTHBROOK, IL 60065-0971
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
06/09/2023
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