North Melbourne Dialysis

NPI Provider: 1578569109
Contact Name: GROSS BARTMAN SADALIA
Position: ADMINISTRATOR
Phone: (321) 724-0431

North Melbourne Dialysis Information:

North Melbourne Dialysis organization have npi 1578569109, taxonomy code is 261QE0700X with license number is PA9101052 in . This Business address located in 14 Suntree Pl, Melbourne, FL 32940 Florida.

Practice Location
Address: 14 Suntree Pl, Melbourne, FL 32940
Phone: (321) 253-9033

Business Location
Address: 14 Suntree Pl, Melbourne, FL 32940
Phone: (321) 253-9033
Fax: (321) 253-8632

Taxonomy

Taxonomy Code: 261QE0700X

License Number: PA9101052

License Number of State: FL

Primary Taxonomy Switch: Y

Enumeration Date: 6/28/2005

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