# PSA PEDIATRIC NEPHROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477901916
- **Authorized official:** REBECCA FRANCE (ADMINISTRATIVE DIRECTOR, RCM)
- **Authorized official phone:** (786) 624-5715

## Contact information

- **Practice address:** 3200 SW 60TH CT, SUITE 304, MIAMI, FL 33155-4000
- **Practice address phone:** (305) 662-8352
- **Practice address fax:** (305) 669-6545
- **Mailing address:** 3200 SW 60TH CT, SUITE 304, MIAMI, FL 33155-4000
- **Mailing address phone:** (305) 662-8352
- **Mailing address fax:** (305) 669-6545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 05/25/2016