Organization
INNOVATIVE DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WOODS (ADMINISTRATOR)
(954) 764-7695
Entity
Organization
Contact information
Practice address
795 BOSTWICK DR, KEY LARGO, FL 33037-2706
(954) 764-7695
Mailing address
795 BOSTWICK DR, KEY LARGO, FL 33037-2706
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
FL
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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