Organization
KIDNEY SPECIALTY CENTER, INC.
Active
Other names
KIDNEY SPECIALTY CENTER - MIAMI BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GARCIA (CREDENTIALING DIRECTOR)
(305) 606-0337
Entity
Organization
Contact information
Practice address
4302 ALTON RD STE 760, MIAMI BEACH, FL 33140-2893
(305) 548-4063
(305) 545-1515
Mailing address
219 NW 12TH AVE STE C-5, MIAMI, FL 33128-2205
(305) 548-4063
(305) 545-1515
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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