Organization
CHARLOTTE NEPHROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALITA D THATTE MD (PRESIDENT)
(941) 629-4676
Entity
Organization
Contact information
Practice address
15121 TAMIAMI TRL, #A, NORTH PORT, FL 34287-2711
(941) 629-4676
(941) 629-1522
Mailing address
3300 TAMIAMI TRL, #101A, PORT CHARLOTTE, FL 33952-8054
(941) 629-4676
(941) 629-1522
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
60708
FL
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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