Organization
WEST ORANGE PALM COAST DIALYSIS CENTER LLC
Active
Organization
WEST ORANGE PALM COAST DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKIN AWOSIKA (CFO)
(407) 927-5873
Entity
Organization
Contact information
Practice address
57 TOWN CT STE 118, PALM COAST, FL 32164-2425
(407) 297-8408
Mailing address
1210 E PLANT ST STE 120, WINTER GARDEN, FL 34787-2995
(407) 297-8408
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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