Organization
FLORIDA KIDNEY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA RIVERA (CREDENTIALING MANAGER)
(480) 610-6100
Entity
Organization
Contact information
Practice address
3221 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8002
(941) 505-8720
(855) 793-3651
Mailing address
3221 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8002
(941) 505-8720
(855) 793-3651
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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