Goldtree Kidney Center Llc

LBN: Goldtree Kidney Center Llc
Goldtree Kidney Center Llc is an health care organization with primary practice located at 1407 Se Goldtree Dr Ste A , Port St Lucie FL 34952-7562. 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. Goldtree Kidney Center Llc can be contacted via phone (772) 335-8677, or through Greene, Keisha Denise via phone (978) 522-3905.

Contact Information

Primary practice address
1407 Se Goldtree Dr Ste A Port St Lucie FL 34952-7562
Phone: (772) 335-8677
Fax: (772) 335-4489
Website:
Map and Directions
Authorized official contact:
Name: Greene, Keisha Denise
Phone: (978) 522-3905

Health care specialties

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

Profile Details

NPI number 1346439387
LBN Legal business name Goldtree Kidney Center Llc
DBA Doing business as
Authorized official Greene, Keisha Denise
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Aug 18th, 2022 - about 2 years ago

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 1346439387 NPPES
Florida MEDICAID 000100700

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