Organization
SOUTH FLORIDA KIDNEY CARE LLC
Active
Other names
Comprehensive Kidney Care of South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Mailing address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012854700
—
FL
Enumeration date
04/22/2014
Last updated
07/24/2024
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