Organization
A UNIQUE KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJIT SINGH GULATI MD (OWNER)
(954) 438-6080
Entity
Organization
Contact information
Practice address
3105 N UNIVERSITY DR, DAVIE, FL 33024-2234
(954) 438-6080
(954) 966-3656
Mailing address
10726 CHARLESTON PL, HOLLYWOOD, FL 33026-4906
(954) 438-6080
(954) 499-5599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
—
—
207RN0300X
Nephrology Physician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
07/06/2007
Last updated
10/09/2020
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