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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