Organization
KIDNEY DOCTORS DIALYSIS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO JOSE BERNAL PEREZ ARNP, FNP-C (DIRECTOR/ADMINISTRATOR/DON)
(786) 365-6624
Entity
Organization
Contact information
Practice address
12145 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 743-5804
(954) 743-4747
Mailing address
12145 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 743-5804
(954) 743-4747
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
—
102376800
—
FL
Enumeration date
08/10/2018
Last updated
05/26/2022
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