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General NPI Number Information
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NPI Number | 1548904238
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Entity Type | Organization
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Legal Business Name | KIDNEY INSTITUTE OF MIAMI LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 5040 NW 7TH ST STE 635
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City | MIAMI
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State | FL
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Zip | 33126-3796
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Country | US
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Telephone | 305-644-2212
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Fax | 786-475-7787
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Provider Business Mailing Address
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Address Line | PO BOX 524102
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City | MIAMI
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State | FL
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Zip | 33152-4102
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Country | US
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Telephone | 305-644-2212
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Fax | 786-475-7787
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY DE JESUS MALDONADO
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Credential | MD
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Telephone | 305-644-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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