Organization
KIDNEY CARE CENTER NORTH TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA M.D (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
7187 BROAD ST, BROOKSVILLE, FL 34601-5536
(815) 741-6830
(815) 741-6832
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
FL
Other
Enumeration date
10/12/2015
Last updated
11/10/2015
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