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
1861 PLACIDA RD STE 203, ENGLEWOOD, FL 34223-4949
(813) 910-0030
(813) 971-6473
Mailing address
1861 PLACIDA RD STE 203, ENGLEWOOD, FL 34223-4949
(813) 910-0030
(813) 971-6473
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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