Comprehensive Kidney Care

Specialty details in registry · Fort Lauderdale, FL

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At a glance

400 Se 12Th St Ste C, Fort Lauderdale, FL 33316-1937

NPPES record updated Jul 29, 2021. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

400 Se 12Th St Ste C
Fort Lauderdale, FL 33316-1937

Additional reported practice locations

315 Se 13Th St
Ft Lauderdale, FL 333161923
Phone: 3054794638
Professional details: NPI, taxonomy & registry record
NPI1619547262
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207RN0300X
Enumeration date
Jun 27, 2021
Record updated
Jul 29, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207RN0300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

400 Se 12Th St Ste C
Fort Lauderdale, FL 33316-1937
Phone
(305) 479-4638
Mailing address
1663 SW 132ND WAY

DAVIE, FL 333255734
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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