Gatlin Kidney Care

LBN: Kidney Center Of Tradition Llc
Gatlin Kidney Care is an health care organization with primary practice located at 1631 Sw Gatlin Blvd Suite 100, Port St Lucie FL 34953-4103. 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. Kidney Center Of Tradition Llc can be contacted via phone (772) 343-7425, or through Greene, Keisha Denise via phone (978) 522-3905.

Contact Information

Primary practice address
1631 Sw Gatlin Blvd Suite 100 Port St Lucie FL 34953-4103
Phone: (772) 343-7425
Fax: (772) 343-7687
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 1184141350
LBN Legal business name Kidney Center Of Tradition Llc
DBA Doing business as Gatlin Kidney Care
Authorized official Greene, Keisha Denise
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2017
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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