Provider Demographics
NPI:1770379679
Name:NEPHROSYNC HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:NEPHROSYNC HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PARTAP
Authorized Official - Suffix:JR
Authorized Official - Credentials:NP
Authorized Official - Phone:954-591-4546
Mailing Address - Street 1:6264 NW 45TH TER
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-1956
Mailing Address - Country:US
Mailing Address - Phone:954-245-6881
Mailing Address - Fax:
Practice Address - Street 1:6264 NW 45TH TER
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-1956
Practice Address - Country:US
Practice Address - Phone:954-245-6881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty