Pure Life Renal of Sanford, LLC

NPI #1770163941 in Sanford, Florida

Provider Information

NPI Number
1770163941
Entity Type
Organization
Organization Name
Pure Life Renal of Sanford, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 12, 2021
Last Updated
Aug 12, 2022

Practice Location

Address
2680 S ORLANDO DR
State
Florida
ZIP Code
32773-5339
Phone
(954) 962-5733

Authorized Official

Name
JEFF FERNANDEZ
Title
CFO
Phone
(954) 962-5733

Specialties & Taxonomy Codes

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

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