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Organization
KIDNEY SPECIALISTS OF SOUTH FLORIDA LLC
Active
Organization
KIDNEY SPECIALISTS OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M CARDONA-GUZMAN MD (OWNER)
(787) 390-3570
Entity
Organization
Contact information
Practice address
9299 SW 152ND ST STE 206, PALMETTO BAY, FL 33157-1776
(787) 390-3570
Mailing address
PO BOX 652256, MIAMI, FL 33265-2256
(787) 390-3570
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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