Organization
MIRAMAR DIALYSIS CENTER LLC
Active
Other names
Miramar Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
2501 DYKES ROAD, STE 200, MIRAMAR, FL 33027-4217
(954) 431-6939
(954) 431-6993
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000640500
—
FL
Enumeration date
01/03/2008
Last updated
09/21/2009
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