Fort Myers Kidney Care Center

LBN: Fort Myers Kidney Center Llc
Fort Myers Kidney Care Center is an health care organization with primary practice located at 14181 S Tamiami Trl Suite 120, Fort Myers FL 33912-1939. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Fort Myers Kidney Center Llc can be contacted via phone (239) 415-1062, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
14181 S Tamiami Trl Suite 120 Fort Myers FL 33912-1939
Phone: (239) 415-1062
Fax: (239) 415-1063
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1093154916
LBN Legal business name Fort Myers Kidney Center Llc
DBA Doing business as Fort Myers Kidney Care Center
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2013
Last updated Jan 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093154916 NPPES
Florida MEDICAID 010564500

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