UNIVERSAL KIDNEY CENTER INC NPI 1447362835

NPI Information

  • NPI: 1447362835
  • Provider Name: UNIVERSAL KIDNEY CENTER INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 4875 NE 20TH TERRACE
    FL LAUDERDALE, FL
    ZIP 33308
  • Phone: (954) 958-9300

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NPI Details

UNIVERSAL KIDNEY CENTER INC is an end-stage renal disease (esrd) treatment clinic center in Fl Lauderdale, FL. UNIVERSAL KIDNEY CENTER INC NPI is 1447362835. The provider is registered as an organization entity type.

The provider's business location address is:

4875 NE 20TH TERRACE
FL LAUDERDALE, FL
ZIP 33308-515
Phone: (954) 958-9300
Fax: (954) 318-4086

The provider's authorized official is Elmo Angelo V Bartolome .
The authorized official title is Cfo Coo and has the following contact phone number (954) 958-9300.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/22/2012.

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) TreatmentCLEA LIC # 800001259FLORIDAYes

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
1V9EOTHERBCBS OF FL
2102739MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3212511100MEDICAIDFLORIDA

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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