Gulf Coast Kidney Center INC

NPI #1417983693 in Trinity, Florida

Provider Information

NPI Number
1417983693
Entity Type
Organization
Organization Name
Gulf Coast Kidney Center INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 23, 2006
Last Updated
May 20, 2016

Practice Location

Address
9332 STATE ROAD 54
Address 2
SUITE 306
State
Florida
ZIP Code
34655-1810
Phone
(727) 848-0106

Authorized Official

Name
STEVEN JEGER
Title
VICE PRESIDENT
Phone
(305) 651-3261

Specialties & Taxonomy Codes

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

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