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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