Broward Kidney Centers of Coral Springs, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BROWARD KIDNEY CENTERS OF CORAL SPRINGS, LLC

Practice address

850 Riverside Dr
Coral Springs, FL 33071-7010

Phone

(954) 340-3353

Fax

(954) 340-3354

NPI assigned

Aug 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mary Mitchell, RN

Title

Administrator

Phone

(954) 340-3353

Specialties & licenses 1

Addresses

Tax ID family

Broward Kidney Centers of Coral Springs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Broward Kidney Centers of Coral Springs LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Coral Springs, FL
  • NPI 1457449282
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447442116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717010",
            "telephone_number": "954-340-3353",
            "fax_number": "954-340-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717010",
            "telephone_number": "954-340-3353",
            "fax_number": "954-340-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD KIDNEY CENTERS OF CORAL SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-340-3353",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angella Brown, LMHC
• Daniesha Brown

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.