Organization
BRIGHT KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA DENISE GREENE (VP OF CLINICAL & REGULATORY)
(978) 522-3905
Entity
Organization
Contact information
Practice address
2000 HARTMAN RD STE 2, FORT PIERCE, FL 34947-4412
(772) 467-1117
(772) 595-9340
Mailing address
2000 HARTMAN RD STE 2, FORT PIERCE, FL 34947-4412
(772) 467-1117
(772) 595-9340
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
08/19/2022
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