Organization
AMERICAN DIALYSIS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSSETTE S MALTI RN (CEO PRESIDENT)
(727) 896-5500
Entity
Organization
Contact information
Practice address
446 4TH ST S, ST PETERSBURG, FL 33701-4603
(727) 896-5500
(727) 898-5317
Mailing address
PO BOX 47069, ST PETERSBURG, FL 33743-7069
(727) 896-5500
(727) 898-5317
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
11/19/2012
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