Organization
H & Z RENAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJUM EHTESHAMUL M.D. (PHYSICIAN)
(904) 824-8158
Entity
Organization
Contact information
Practice address
52 TUSCAN WAY, SUITE 202 #350, ST AUGUSTINE, FL 32092-1850
(646) 331-7106
Mailing address
52 TUSCAN WAY, SUITE 202 #350, ST AUGUSTINE, FL 32092-1850
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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