Organization
CENTRAL FLORIDA KIDNEY CENTERS INC
Active
Other names
Osceola
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KOZSUCH (CEO)
(407) 843-6110
Entity
Organization
Contact information
Practice address
14522 LANDSTAR BLVD, UNIT 108, ORLANDO, FL 32824-6450
(407) 843-6110
(407) 425-1526
Mailing address
203 ERNESTINE ST, ORLANDO, FL 32801-3621
(407) 843-6110
(407) 425-1526
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212045300
—
FL
Enumeration date
08/29/2005
Last updated
05/07/2025
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