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Organization

BRANDON NEPHROLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH B KAPATKIN M.D. (PRESIDENT)
(813) 681-8212
Entity
Organization

Contact information

Practice address
511 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 681-8212
(813) 654-0478
Mailing address
511 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 681-8212
(813) 654-0478

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
01/16/2007
Last updated
06/18/2014
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