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Organization
NEPHROLOGY ASSOCIATES OF SOUTH MIAMI PA
Active
Organization
NEPHROLOGY ASSOCIATES OF SOUTH MIAMI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE C BUSSE MD (PRESIDENT)
(305) 273-9377
Entity
Organization
Contact information
Practice address
9193 SUNSET DR, SUITE 200, MIAMI, FL 33173-3487
(305) 273-9377
(305) 273-9388
Mailing address
9193 SUNSET DR, SUITE 200, MIAMI, FL 33173-3487
(305) 273-9377
(305) 273-9388
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00859
BCBS
FL
01
—
052511100
PSN
FL
01
—
05712
BCBS
FL
01
—
063809900
PSN
FL
01
—
43805
BCBS
FL
01
—
64370
BCBS
FL
01
—
78626
BCBS
FL
01
—
91824
BCBS
FL
01
—
92155
BCBS
FL
01
—
P00088820
RAILROAD MEDICARE
FL
01
—
P00095463
RAILROAD MEDICARE
FL
01
—
P00222398
RAILROAD MEDICARE
FL
01
—
P00241477
RAILROAD MEDICARE
FL
Enumeration date
05/25/2006
Last updated
07/18/2017
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