KIDNEY CARE OF LABELLE LLC NPI 1306616404

NPI Information

NPI: 1306616404
Provider Name: KIDNEY CARE OF LABELLE LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2299302

Address:
50 N BRIDGE ST STE 200
LABELLE, FL
ZIP 33935
Phone: (863) 339-7040
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KIDNEY CARE OF LABELLE LLC is an end-stage renal disease (esrd) treatment clinic center in Labelle, FL. KIDNEY CARE OF LABELLE LLC NPI is 1306616404. The provider is registered as an organization entity type.

The provider's business location address is:

50 N BRIDGE ST STE 200
LABELLE, FL
ZIP 33935-083
Phone: (863) 339-7040

The provider's authorized official is Federico A Dumenigo .
The authorized official title is Chief Executive Officer and has the following contact phone number (305) 448-6261.

The CLIA number assigned to this NPI record is 10D2299302 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2024 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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