Organization
SDA DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER DIAB AGHA MD (CEO)
(917) 803-9091
Entity
Organization
Contact information
Practice address
3911 HOLLYWOOD BLVD STE 104, HOLLYWOOD, FL 33021-6795
(954) 880-5553
(954) 208-4533
Mailing address
PO BOX 7496, FORT LAUDERDALE, FL 33338-7496
(917) 803-9091
(954) 208-4533
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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