Innovative Dialysis

NPI #1912420753 in Key Largo, Florida

Provider Information

NPI Number: 1912420753
Entity Type: Organization
Organization Name: Innovative Dialysis
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 24, 2017
Last Updated: Jul 24, 2017

Practice Location

Address: 795 BOSTWICK DR
City: Key Largo
State: Florida
ZIP Code: 33037-2706
Phone: (954) 764-7695

Authorized Official

Name: WENDY WOODS
Title: ADMINISTRATOR
Phone: (954) 764-7695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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