Organization
SUNSTATE NEPHROLOGY& HYPERTENSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANNE FORD (BILLING MANAGER)
(727) 729-4210
Entity
Organization
Contact information
Practice address
1922 E 4TH AVE STE A, TAMPA, FL 33605
(727) 729-4210
(727) 888-3645
Mailing address
2234 N FEDERAL HWY STE 531, BOCA RATON, FL 33431-7710
(561) 302-6086
(727) 888-3645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
08/10/2018
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