Provider Demographics
NPI:1043260284
Name:NEPHROLOGY CONSULTANTS OF SOUTH FLORIDA PA
Entity Type:Organization
Organization Name:NEPHROLOGY CONSULTANTS OF SOUTH FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:USHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-491-5187
Mailing Address - Street 1:2161 E COMMERCIAL BLVD
Mailing Address - Street 2:2ND FL
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3726
Mailing Address - Country:US
Mailing Address - Phone:954-491-5187
Mailing Address - Fax:954-491-5217
Practice Address - Street 1:2161 E COMMERCIAL BLVD
Practice Address - Street 2:2ND FL
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3810
Practice Address - Country:US
Practice Address - Phone:954-491-5187
Practice Address - Fax:954-491-5217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty