{"npi":"1316367998","type":"NPI-2","status":"active","name":{"display":"South Florida Kidney Care LLC","other":[],"organization_name":"SOUTH FLORIDA KIDNEY CARE LLC","authorised_official":"Ryan Valle"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3854 SHERIDAN ST STE A","city":"HOLLYWOOD","state":"FL","postal_code":"330213630","country_code":"US","phone":"9549663018","fax":"9549665249"},{"purpose":"MAILING","street_1":"3854 SHERIDAN ST STE A","city":"HOLLYWOOD","state":"FL","postal_code":"330213630","country_code":"US","phone":"9549663018","fax":"9549665249"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"012854700","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141112000682","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"7911129747"}]},"enumeration_date":"2014-04-22","last_updated":"2024-07-24","_meta":{"source":"NPPES","snapshot_date":"2024-07-24","doc_url":"https://findmynpi.com/api"}}