Organization
PURE LIFE RENAL OF BUFFALO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF FERNANDEZ (CFO)
(954) 962-5733
Entity
Organization
Contact information
Practice address
6010 MAIN ST, WILLIAMSVILLE, NY 14221-6837
(716) 631-4700
Mailing address
4000 HOLLYWOOD BLVD STE 300N, HOLLYWOOD, FL 33021-1242
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
10/26/2022
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