Organization
KIDNEY CARE OF KENDALL DIALYSIS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDIE MISENAS (ADMINISTRATOR/CEO)
(305) 318-3169
Entity
Organization
Contact information
Practice address
13501 S.W. 136TH STREET, 210, MIAMI, FL 33186
(305) 318-3169
(305) 623-7880
Mailing address
13501 S.W. 136TH STREET, 210, MIAMI, FL 33186
(305) 318-3169
(305) 623-7880
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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