Haverhills Dialysis, LLC

NPI #1497345763 in Cocoa, Florida

Provider Information

NPI Number
1497345763
Entity Type
Organization
Organization Name
Haverhills Dialysis, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DAVITA INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jan 21, 2021
Last Updated
Jan 21, 2021

Practice Location

Address
2300 STATE ROAD 524 STE 106
City
Cocoa
State
Florida
ZIP Code
32926-5894
Phone
(321) 482-5609

Authorized Official

Name
JOHN WINSTEL
Title
CHIEF ACCOUNTING OFFICER
Phone
(303) 405-5117

Specialties & Taxonomy Codes

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

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