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A UNIQUE KIDNEY CENTER LLC

Behavioral Health & Social Service Providers Social Worker Clinical

Provider NPI: 1033317433

Organization Information:
Organization Name:  A UNIQUE KIDNEY CENTER LLC
Organization is not Subpart
Authorized Official:  MANJIT SINGH GULATI  OWNER  954-438-6080

Practice Location:
3105 N UNIVERSITY DR  DAVIE, FL 33024-2234 US
Tel: 954-438-6080  Fax: 954-966-3656

Business Mailing Address:
10726 CHARLESTON PL  HOLLYWOOD, FL 33026-4906 US
Tel: 954-438-6080  Fax: 954-499-5599

NPI Information:
NPI: 1033317433
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
N133VN1005XDietary & Nutritional Service Providers
Dietitian, Registered
Y163WD1100XNursing Service Providers
Registered Nurse
N207RN0300XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WD1100X

Type:

Classification:



Definition:



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