Organization
ATLANTIC 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
4700 N CONGRESS AVE, SUITE 106, WEST PALM BEACH, FL 33407-3284
(561) 845-2888
(561) 845-7282
Mailing address
4700 N CONGRESS AVE, SUITE 106, WEST PALM BEACH, FL 33407-3284
(561) 845-2888
(561) 845-7282
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
—
891221100
—
FL
Enumeration date
07/09/2006
Last updated
01/13/2023
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