Organization
ULTIMATE CARE DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL J VALIDO (ADMINISTRATOR)
(305) 226-2699
Entity
Organization
Contact information
Practice address
2720 SW 97TH AVE, SUITE 201, MIAMI, FL 33165-2677
(305) 226-2699
(305) 226-4199
Mailing address
2720 SW 97TH AVE, SUITE 201, MIAMI, FL 33165-2677
(305) 226-2699
(305) 226-4199
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
04/01/2013
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