Organization
KIDNEY CENTER OF WESLEY CHAPEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
27806 SUMMERGATE BLVD, WESLEY CHAPEL, FL 33544-6919
(813) 991-6419
(813) 991-7141
Mailing address
27806 SUMMERGATE BLVD, WESLEY CHAPEL, FL 33544-6919
(813) 991-6419
(813) 991-7141
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
01/10/2023
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