SOUTH FLORIDA KIDNEY CARE LLC (NPI# 1316367998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316367998 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA KIDNEY CARE LLC |
| Other Organization Name | COMPREHENSIVE KIDNEY CARE OF SOUTH FLORIDA |
| Practice Address |
2700 Hollywood Blvd Ste 101 Hollywood FL 33020-4808 |
| Practice Telephone | 9549663018 |
| Practice Fax Number | 9549665249 |
| Mailing Telephone | 9549663018 |
| Mailing Fax Number | 9549665249 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JAMES HILL (VP OF OPERATIONS) |
| Authorized Official Telephone | 7046510795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012854700 | 05 |
| Other Name | Type Code |
|---|---|
| Comprehensive Kidney Care of South Florida | Doing Business As Name - Organization |
| Street Address |
2700 HOLLYWOOD BLVD STE 101 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518513290 | Natasha Cole-christie | Nurse Practitioner | 2700 Hollywood Blvd Ste 101, Hollywood, FL 33020-4808 | 2019-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266688 | Jones John, D.o., Pa. | Internal Medicine | 11272 Roundelay Rd, Hollywood, FL 33026-1351 | 2017-10-16 |
| 1093974776 | Nancy My Ngoc Tran | Internal Medicine | 1150n 35th Ave 465-465, Hollywood, FL 33021-5424 | 2008-06-06 |
| 1629248828 | Nephrology & Hypertension Consultants Pa | Internal Medicine | 4060 Sheridan St Ste B, Hollywood, FL 33021-3559 | 2008-03-04 |
| 1548298649 | Joanna M Rodriguez | Internal Medicine | 1150 N 35th Ave, Suite 465, Hollywood, FL 33021-5467 | 2006-06-28 |
| 1881153674 | Kidney Health Specialists LLC | Internal Medicine | 7369 Sheridan St, Hollywood, FL 33024-2776 | 2019-03-19 |
| 1598237646 | Arvinder Singh | Internal Medicine | 3105 N University Dr, Hollywood, FL 33024-2222 | 2018-12-28 |
| 1972808483 | Venkat Pradeepkumar Amara | Internal Medicine | 4060 Sheridan St, Ste B, Hollywood, FL 33021-3559 | 2011-01-13 |
| 1053613463 | Behruze Ruyani Md Pa | Internal Medicine | 1150 N 35th Ave, Suite 245, Hollywood, FL 33021-5424 | 2010-11-18 |
| 1740432269 | Fernando Edilberto Pedraza Taborda | Internal Medicine | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2008-10-15 |
| 1598973067 | Heather Anne Laguardia | Internal Medicine | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2007-05-18 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.