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Organization

KIDNEY CARE LLC

Active
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Organization

KIDNEY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AYAD SHUKUR MD (SOLE MANAGER/OWNER)
(407) 473-8611
Entity
Organization

Contact information

Practice address
2200 N ALAFAYA TRL, SUITE 600, ORLANDO, FL 32826-3993
(407) 482-5588
(407) 358-5084
Mailing address
2200 N ALAFAYA TRL, SUITE 600, ORLANDO, FL 32826-3993
(407) 482-5588
(407) 358-5084

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
93764
FL

Other

Enumeration date
08/26/2008
Last updated
02/09/2011
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