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Organization

JUPITER KIDNEY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization

Contact information

Practice address
1701 MILITARY TRL, SUITE 140, JUPITER, FL 33458-6330
(561) 744-4661
(561) 743-9846
Mailing address
1701 MILITARY TRL, SUITE 140, JUPITER, FL 33458-6330
(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
05
891220300
FL
Enumeration date
07/07/2006
Last updated
01/10/2023
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