WEST BROWARD KIDNEY, PA (NPI# 1588261911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588261911 |
| Entity Type | Organization |
| Organization Name | WEST BROWARD KIDNEY, PA |
| Practice Address |
2951 Nw 49th Ave Ste 301 Lauderdale Lakes FL 33313-1617 |
| Practice Telephone | 9547392221 |
| Practice Fax Number | 9547392271 |
| Mailing Telephone | 9547392221 |
| Mailing Fax Number | 9547392271 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | KENNETH JOSEPH TOURGEMAN (MD) |
| Authorized Official Telephone | 9545573422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZN0300X |
Specialist/Technologist, Other Specialization: Nephrology |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2951 NW 49TH AVE STE 301 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285085134 | Aaliya Ali | Nurse Practitioner | 2951 Nw 49th Ave Ste 301, Lauderdale Lakes, FL 33313-1617 | 2016-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 246ZN0300X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Nephrology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932764339 | Management Renal Group, LLC | Specialist/Technologist, Other | 4742 Sw 74th Ave, Miami, FL 33155-4457 | 2019-05-01 |
| 1912311903 | Ragi Philips | Specialist/Technologist, Other | 1611 Nw 12th Ave Fl 33136, Miami, FL 33136 | 2014-06-17 |
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on WEST BROWARD KIDNEY, PA.
| 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.