Organization
CENTRAL FLORIDA KIDNEY CARE PA
Active
Other names
Tapia & Vilches MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO VILCHES MD (TREASURER OF CORPORATION)
(863) 688-0576
Entity
Organization
Contact information
Practice address
1745 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3002
(863) 688-0576
(863) 686-5907
Mailing address
1745 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3002
(863) 688-0576
(863) 686-5907
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB7586
RAILROAD MEDICARE
FL
Enumeration date
11/27/2006
Last updated
12/03/2007
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