Organization
COMPREHENSIVE KIDNEY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJAN VANDEVAR DO (PRESIDENT)
(305) 479-4638
Entity
Organization
Contact information
Practice address
400 SE 12TH ST STE C, FORT LAUDERDALE, FL 33316-1937
(305) 479-4638
Mailing address
1663 SW 132ND WAY, DAVIE, FL 33325-5734
(305) 479-4638
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
07/29/2021
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