Fort Myers Kidney Center LLC
NPI #1093154916 in Fort Myers, Florida
Provider Information
- NPI Number
- 1093154916
- Entity Type
- Organization
- Organization Name
- Fort Myers Kidney Center LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 25, 2013
- Last Updated
- Jan 11, 2023
Practice Location
- Address
- 14181 S TAMIAMI TRL
- Address 2
- SUITE 120
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33912-1939
- Phone
- (239) 415-1062
Authorized Official
- Name
- SARA ANNE BRADY
- Title
- CHIEF NURSING OFFICER
- Phone
- (208) 371-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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