Organization
NOVEL LAKEWOOD RANCH DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURLIDHAR K ACHARYA MD (CEO)
(727) 808-2227
Entity
Organization
Contact information
Practice address
6600 UNIVERSITY PKWY STE 100, LAKEWOOD RANCH, FL 34240-9040
(727) 215-0940
(727) 287-6305
Mailing address
PO BOX 1685, PALM HARBOR, FL 34682-1685
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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