Organization
CROWN DIALYSIS CENTER OF PALM BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT K GUPTA MD (MEMBER MANAGER)
(954) 993-5757
Entity
Organization
Contact information
Practice address
4701 N FEDERAL HWY, BOCA RATON, FL 33431-5135
(954) 993-5757
(954) 577-5776
Mailing address
4701 N FEDERAL HWY, BOCA RATON, FL 33431-5135
(954) 993-5757
(954) 577-5776
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/19/2011
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