Organization
KIDNEY GROUP OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL A VALLE M.D. (CEO)
(954) 771-3929
Entity
Organization
Contact information
Practice address
2001 NE 48TH CT, SUITE 4, FORT LAUDERDALE, FL 33308-4512
(954) 771-3929
(954) 771-2393
Mailing address
2001 NE 48TH CT, SUITE 4, FORT LAUDERDALE, FL 33308-4512
(954) 771-3929
(954) 771-2393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/07/2005
Last updated
07/05/2016
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