Organization
UNIVERSAL KIDNEY CENTER OF DAVIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMO ANGELO V. BARTOLOME (C.F.O/C.O.O)
(954) 770-6540
Entity
Organization
Contact information
Practice address
11570 W STATE ROAD 84, DAVIE, FL 33325-4022
(954) 727-9100
(954) 727-9880
Mailing address
11570 W STATE ROAD 84, DAVIE, FL 33325-4022
(954) 727-9100
(954) 727-9880
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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