CMB Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CMB DIALYSIS CENTER LLC

Practice address

250 Congress Park Dr Apt 249
Delray Beach, FL 33445-4747

Phone

(561) 860-2588

NPI assigned

Aug 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carline Charles

Title

Ceo

Phone

(561) 860-2588

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1477280360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CONGRESS PARK DR APT 249",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454747",
            "telephone_number": "561-860-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CONGRESS PARK DR APT 249",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454747",
            "telephone_number": "561-860-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMB DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CARLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-860-2588"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.