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Organization

FLORIDA KIDNEY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHYAM J UTTAMCHANDANI M.D (M.D)
(813) 910-8708
Entity
Organization

Contact information

Practice address
12662 TELECOM DR, TEMPLE TERRACE, FL 33637-0935
(813) 910-8708
(855) 852-7153
Mailing address
12662 TELECOM DR, TEMPLE TERRACE, FL 33637-0935
(813) 910-8708
(855) 852-7153

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
06/13/2016
Last updated
07/13/2021
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