Organization
HOLLYWOOD ARTIFICIAL KIDNEY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI L BURRIER RN, MBA (DIRECTOR VICE-PRESIDENT)
(954) 474-7701
Entity
Organization
Contact information
Practice address
1 OAKWOOD BLVD, SUITE 100, HOLLYWOOD, FL 33020-1956
(954) 894-7500
(954) 894-7700
Mailing address
7061 CYPRESS RD, SUITE 104, PLANTATION, FL 33317-2243
(954) 474-7701
(954) 474-7702
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211645600
—
FL
01
—
V5R
BC/BS PROVIDER NO
FL
Enumeration date
01/19/2006
Last updated
02/14/2011
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