Organization
DIALYSIS SERVICES INC
Active
Organization
DIALYSIS SERVICES INC
Active
Other names
Jupiter Kidney Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIETTA HOLMES (ADMINISTRATOR)
(561) 744-4661
Entity
Organization
Contact information
Practice address
1000 S OLD DIXIE HWY, JUPITER, FL 33458-7207
(561) 744-4661
(561) 743-9846
Mailing address
1000 S OLD DIXIE HWY, JUPITER, FL 33458-7207
(561) 744-4661
(561) 743-9846
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0856947
SIGNA
—
01
—
102451
AVMED
—
01
—
27
AMERICA'S HEALTH CHOICE
—
01
—
62516
VISTA
—
01
—
6870038
UNITED HEATHCARE
—
01
—
P11420
BEACON
—
01
—
V44
BCBS, HEALTH OPTIONS
—
Enumeration date
12/06/2005
Last updated
08/22/2020
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