Florida Kidney Physicians, LLC
Internal Medicine, Nephrology in Port Charlotte, FL. Organization (NPI-2).
NPI number1205409752
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1205409752
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Kidney Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
3221 Tamiami TrlPort Charlotte, FL 33952-8002
Phone 941-505-8720 · Fax 855-793-3651
Mailing address
3221 Tamiami TrlPort Charlotte, FL 33952-8002
Phone 941-505-8720 · Fax 855-793-3651
Authorized official
Maria Elena Rivera
Credentialing Manager
4806106100
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