Advanced Kidney Care Of Central

NPI 1144533175 - Internal Medicine - 207R00000X

NPI Details
NPI 1144533175
Enumeration Date 07/19/2010
Last Updated 01/12/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name BAO LONG BAO
Position PRESIDENT
Phone (612) 396-8602
Fax
Practice Location
3175 CITRUS TOWER BLVD
CLERMONT FL, 34711-6803, US
Phone (612) 396-8602
Fax
Business Location
3175 CITRUS TOWER BLVD
CLERMONT FL, 34711-6803, US
Phone (352) 240-3812
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME101771
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According to our database, Advanced Kidney Care Of Central NPI is 1144533175, taxonomy code is 207R00000X and license number is ME101771, license state is located at Florida. Advanced Kidney Care Of Central physically located at 3175 Citrus Tower Blvd, Clermont FL, 34711-6803. NPI Number 1033115704 has the healthcare provider type.

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1144533175 NPI number is provided on an as is basis without warranty of any kind. 1144533175 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Kidney Care Of Central are for informational purposes only.