Organization
CARING HEART METRO WEST DIALYSIS LLC
Active
Organization
CARING HEART METRO WEST DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY JEAN (MEMBER MANAGER)
(305) 308-8676
Entity
Organization
Contact information
Practice address
1743 PARK CENTER DR STE 300, ORLANDO, FL 32835-7621
(305) 308-8676
Mailing address
7786 NEWLAN DR, ORLANDO, FL 32818-1231
(305) 308-8676
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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