Organization
PROFESSIONAL DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO C MOLINA (CEO)
(954) 417-1070
Entity
Organization
Contact information
Practice address
10021 PINES BLVD, SUITE 201, PEMBROKE PINES, FL 33024-6194
(954) 417-1070
(954) 417-1071
Mailing address
10021 PINES BLVD, SUITE 201, PEMBROKE PINES, FL 33024-6194
(954) 417-1070
(954) 417-1071
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
09/18/2013
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