Organization
UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC
Active
Organization
UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMO ANGELO V. BARTOLOME (PRESIDENT)
(954) 770-6540
Entity
Organization
Contact information
Practice address
18004 NW 6TH ST STE 101, PEMBROKE PINES, FL 33029-2823
(954) 433-9400
Mailing address
18004 NW 6TH ST STE 101, PEMBROKE PINES, FL 33029-2823
(954) 433-9400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
02/08/2008
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