Organization
KIDNEY CARE CENTER OF WINTER HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FEDERICO DUMENIGO (CEO)
(305) 448-6261
Entity
Organization
Contact information
Practice address
1107 3RD ST SW STE 9, WINTER HAVEN, FL 33880-3912
(305) 448-6261
Mailing address
4960 SW 72ND AVE STE 208, MIAMI, FL 33155-5549
(305) 448-6261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
12/16/2020
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