Melbourne Kidney Center INC

NPI #1104823731 in Melbourne, Florida

Provider Information

NPI Number
1104823731
Entity Type
Organization
Organization Name
Melbourne Kidney Center INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 28, 2005
Last Updated
Dec 22, 2010

Practice Location

Address
280 N WICKHAM RD
State
Florida
ZIP Code
32935-8650
Phone
(321) 308-5005

Authorized Official

Name
MRS. SADALIA BARTMAN GROSS, RN
Title
ADMINISTRATOR
Phone
(321) 724-0431

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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