Organization · NPI-2
A Unique Kidney Center LLC
Registered Nurse, Dialysis, Peritoneal · Davie, FL
NPI number1033317433
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1033317433
- Entity type
- Organization (NPI-2)
- Legal business name
- A Unique Kidney Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2007
- Certification date
- Oct 9, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD1100X | Registered Nurse, Dialysis, Peritoneal | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | – | – | |
| 207RN0300X | Internal Medicine, Nephrology | – | – | |
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – |
Practice location
3105 N University DrDavie, FL 33024-2234
Phone 954-438-6080 · Fax 954-966-3656
Mailing address
10726 Charleston PlHollywood, FL 33026-4906
Phone 954-438-6080 · Fax 954-499-5599
Authorized official
Manjit Singh Gulati
Owner
9544386080
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