Brevard Kidney & Hypertension INC
NPI #1235211327 in Merritt Island, Florida
Provider Information
- NPI Number
- 1235211327
- Entity Type
- Organization
- Organization Name
- Brevard Kidney & Hypertension INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 245 S COURTENAY PKWY
- Address 2
- BLDG A
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952
- Phone
- (321) 452-0020
Authorized Official
- Name
- MRS. SUKON K WANICH, MD
- Title
- ADMINISTRATOR
- Phone
- (321) 452-0020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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