Broward Kidney Consultants

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME116060 Issued in FL

Legal business name

BROWARD KIDNEY CONSULTANTS

Practice address

315 SE 13TH St
Fort Lauderdale, FL 33316-1923

Phone

(954) 767-5900

Fax

(954) 767-6070

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Cueli, M.D.

Title

President

Phone

(954) 767-5900

Specialties & licenses 3

Addresses

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1720002363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SE 13TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161923",
            "telephone_number": "954-767-5900",
            "fax_number": "954-767-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE 13TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161923",
            "telephone_number": "954-767-5900",
            "fax_number": "954-767-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD KIDNEY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "CUELI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-767-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME116060",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS12532",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME60254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Broward Medical Group LLC

• Nephrology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.