Healthcare Provider Details
I. General information
NPI: 1801838305
Provider Name (Legal Business Name): KIDNEY AND HYPERTENSION SPECIALIST OF MIAMI PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2006
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1190 NW 95TH ST STE 207
MIAMI FL
33150-2064
US
IV. Provider business mailing address
1190 NW 95TH ST STE 207
MIAMI FL
33150-2064
US
V. Phone/Fax
- Phone: 305-835-7045
- Fax: 305-836-2359
- Phone: 305-835-7045
- Fax: 305-836-2359
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SEYMOUR
JACOB
FRANKFURT
Title or Position: NEPHROLOGY
Credential: MD
Phone: 305-835-7045