Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnson Dialysis Center of Davie Florida LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1720383219

Johnson Dialysis Center of Davie Florida LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Davie, Florida. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3105 N University Dr
Davie, FL 33024
Phone: (954) 962-9640
Fax: (954) 962-9641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1720383219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Carrasco — Administrator · (954) 962-9640
NPI enumeratedJanuary 14, 2011
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020
Mailing address3105 N University Dr, Suite 3, Hollywood, FL 33024-2222

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