Organization
DIALYSIS PARTNERS 1 INC.
Active
Organization
DIALYSIS PARTNERS 1 INC.
Active
Other names
Nephrology Consultants Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A LARRANAGA M.D. (MEDICAL DIRECTOR)
(407) 498-0018
Entity
Organization
Contact information
Practice address
220 KISSIMMEE PARK RD, SAINT CLOUD, FL 34769-1547
(407) 498-0018
Mailing address
220 KISSIMMEE PARK RD, SAINT CLOUD, FL 34769-1547
(407) 498-0018
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
06155284
FL
Other
Enumeration date
07/11/2006
Last updated
10/25/2007
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