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COMPREHENSIVE KIDNEY CARE
NPI 1619547262
Internal Medicine - Nephrology in Fort Lauderdale, FL

Active since June 27, 2021
400 SE 12TH ST STE C, FORT LAUDERDALE, FL 33316(305) 479-4638 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2021, Jun 27, 2021 (2 updates tracked since 2021).

About Comprehensive Kidney Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPREHENSIVE KIDNEY CARE (NPI 1619547262) is a healthcare organization registered as a nephrology in Fort Lauderdale, Florida and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Ft Lauderdale and lists Marjan Vandevar, President, as its authorized official.

NPPES Registry Identity

NPI1619547262
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCOMPREHENSIVE KIDNEY CARE
Location Address400 SE 12TH ST STE CFort Lauderdale, FL 33316-1937
Mailing Address1663 Sw 132nd WayDavie, FL 33325-5734 · (305) 479-4638
Phone(305) 479-4638
Organization SubpartNo
Authorized OfficialMarjan VandevarPresident · (305) 479-4638
Enumeration DateJune 27, 2021
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1619547262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
400 SE 12TH ST STE C, Fort Lauderdale, FL 33316
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Secondary Practice Location 1

Location 1315 SE 13th StFt Lauderdale, FL 33316-1923 · Phone (305) 479-4638

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Comprehensive Kidney Care's NPI number?

The NPI number for Comprehensive Kidney Care is 1619547262. It was assigned to this organization in the NPPES registry on June 27, 2021.

Where is Comprehensive Kidney Care located?

Comprehensive Kidney Care is located at 400 SE 12th St Ste C, Fort Lauderdale, FL 33316. The listed phone number is (305) 479-4638.

What is Comprehensive Kidney Care's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Comprehensive Kidney Care was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.