Kidney Institute Of Tuscaloosa, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Dunedin, FL. Organization (NPI-2).
NPI number1508897745
StatusActive
Last updated in NPPESFeb 20, 2008
Details
- NPI
- 1508897745
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidney Institute Of Tuscaloosa, LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Feb 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
1964 Bayshore BlvdSuite C
Dunedin, FL 34698-2576
Phone 727-733-2040
Mailing address
701 University Blvd ESuite 809
Tuscaloosa, AL 35401-2086
Phone 205-247-2900
Authorized official
June A Clark
Vice President
7277332040
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