Organization
UNIVERSITY ARTIFICIAL KIDNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L BURRIER RN, MBA (DIRECTOR/VICE-PRESIDENT)
(954) 474-7701
Entity
Organization
Contact information
Practice address
7950 SW 30TH ST, DAVIE, FL 33328-1900
(954) 577-2778
(954) 577-2710
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
01
—
VH5
BC/BS PROVIDER NO
FL
Enumeration date
01/19/2006
Last updated
08/22/2020
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