Wellcare Dialysis Center,llc
Registered Nurse, Hemodialysis in Boynton Beach, FL. Organization (NPI-2).
NPI number1174232011
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1174232011
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellcare Dialysis Center,llc
- Organization subpart
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0500X | Registered Nurse, Hemodialysis | – | – | Yes |
Practice location
4589 Purdue DrBoynton Beach, FL 33436-7715
Phone 561-315-1227
Mailing address
4589 Purdue DrBoynton Beach, FL 33436-7715
Phone 561-315-1227
Authorized official
Emmanuella Bazilme Nerelus
Owner
5613151227
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