| Universal Kidney Center Of Pembroke Pines-miramar Llc | |
|
18004 Nw 6th St Ste 101 Pembroke Pines FL 33029-2823 | |
| (954) 433-9400 | |
| Not Available |
| Full Name | Universal Kidney Center Of Pembroke Pines-miramar Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18004 Nw 6th St Ste 101, Pembroke Pines, Florida |
| Authorized Official Name and Position | Elmo Angelo V. Bartolome (PRESIDENT) |
| Authorized Official Contact | 9547706540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Kidney Center Of Pembroke Pines-miramar Llc 18004 Nw 6th St Ste 101 Pembroke Pines FL 33029-2823 Ph: (954) 433-9400 | Universal Kidney Center Of Pembroke Pines-miramar Llc 18004 Nw 6th St Ste 101 Pembroke Pines FL 33029-2823 Ph: (954) 433-9400 |
| NPI Number | 1215959184 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 02/08/2008 |
| Medicare PECOS PAC ID | 8325046691 |
|---|---|
| Medicare Enrollment ID | O20061121000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215959184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Primary |
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