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FLORIDA KIDNEY PHYSICIANS LLC NPI 1295402121


NPI Information

NPI: 1295402121
Provider Name: FLORIDA KIDNEY PHYSICIANS, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 10D2165474

Address:
1861 PLACIDA RD STE 203
ENGLEWOOD, FL
ZIP 34223
Phone: (813) 910-0030
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FLORIDA KIDNEY PHYSICIANS, LLC is a nephrology internal medicine in Englewood, FL. The provider is 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. FLORIDA KIDNEY PHYSICIANS, LLC NPI is 1295402121. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1861 PLACIDA RD STE 203
ENGLEWOOD, FL
ZIP 34223-949
Phone: (813) 910-0030
Fax: (813) 971-6473

The provider's authorized official is Maria Elena Rivera .
The authorized official title is Credentialing Manager and has the following contact phone number (480) 610-6100.

The CLIA number assigned to this NPI record is 10D2165474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2021 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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