MIRAMAR DIALYSIS CENTER LLC NPI 1063697589

NPI Information

  • NPI: 1063697589
  • Provider Name: MIRAMAR DIALYSIS CENTER LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MIRAMAR KIDNEY CENTER
  • CLIA Number: 10D1081335
  • Address: 2501 DYKES ROAD
    STE 200
    MIRAMAR, FL
    ZIP 33027
  • Phone: (954) 431-6939

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NPI Details

MIRAMAR DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Miramar, FL. MIRAMAR DIALYSIS CENTER LLC NPI is 1063697589. The provider is registered as an organization entity type.
The provider Is Doing Business As Miramar Kidney Center.

The provider's business location address is:

2501 DYKES ROAD
STE 200
MIRAMAR, FL
ZIP 33027-217
Phone: (954) 431-6939
Fax: (954) 431-6993

The provider's authorized official is James K Hilger .
The authorized official title is Vice President and has the following contact phone number (253) 382-1919.

The CLIA number assigned to this NPI record is 10D1081335 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 9/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000640500MEDICAIDFLORIDA
2102866MEDICARE OSCAR/CERTIFICATION
3=========OTHERTRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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