Broward Kidney Consultants
Internal Medicine, Nephrology in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1720002363
StatusActive
Last updated in NPPESNov 15, 2016
Details
- NPI
- 1720002363
- Entity type
- Organization (NPI-2)
- Legal business name
- Broward Kidney Consultants
- Organization subpart
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- Nov 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | ME116060 | FL | Yes |
| 207RN0300X | Internal Medicine, Nephrology | OS12532 | FL | |
| 207RN0300X | Internal Medicine, Nephrology | ME60254 | FL |
Practice location
315 Se 13th StFort Lauderdale, FL 33316-1923
Phone 954-767-5900 · Fax 954-767-6070
Mailing address
315 Se 13th StFort Lauderdale, FL 33316-1923
Phone 954-767-5900 · Fax 954-767-6070
Authorized official
Robert Cueli
President
9547675900
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