Fort Lauderdale Renal Dialysis Llc

LBN: Fort Lauderdale Renal Dialysis Llc
Fort Lauderdale Renal Dialysis Llc is an health care organization with primary practice located at 6264 N Federal Hwy , Fort Lauderdale FL 33308-1904. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Fort Lauderdale Renal Dialysis Llc can be contacted via phone (954) 776-3791, or through Cousins, Shari K via phone (978) 922-3080.

Contact Information

Primary practice address
6264 N Federal Hwy Fort Lauderdale FL 33308-1904
Phone: (954) 776-3791
Fax: (954) 771-7527
Website:
Map and Directions
Authorized official contact:
Name: Cousins, Shari K
Phone: (978) 922-3080

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1801160809
LBN Legal business name Fort Lauderdale Renal Dialysis Llc
DBA Doing business as
Authorized official Cousins, Shari K
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2012
Last updated Mar 16th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801160809 NPPES
Florida MEDICAID 005936600

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