St. Augustine Artificial Kidney Center, Ltd.
NPI #1013997600 in St Augustine, Florida
Provider Information
- NPI Number
- 1013997600
- Entity Type
- Organization
- Organization Name
- St. Augustine Artificial Kidney Center, Ltd.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 264 SOUTHPARK CIR E
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5137
- Phone
- (904) 808-0445
Authorized Official
- Name
- MS. VICKI L BURRIER, RN, MBA
- Title
- DIRECTOR/VICE-PRESIDENT
- Phone
- (954) 474-7701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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