Organization
CENTRAL FLORIDA KIDNEY CENTERS INC
Active
Organization
CENTRAL FLORIDA KIDNEY CENTERS INC
Active
Other names
Melbourne Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KOZSUCH (CEO)
(407) 843-6110
Entity
Organization
Contact information
Practice address
1400 S APOLLO BLVD, MELBOURNE, FL 32901-3145
(321) 724-0431
(321) 728-7562
Mailing address
203 ERNESTINE STREET, ORLANDO, FL 32801-3621
(407) 843-6110
(407) 425-1526
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200512300
—
FL
Enumeration date
06/28/2005
Last updated
05/07/2025
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