Organization
GULF COAST KIDNEY CENTER INC
Active
Organization
GULF COAST KIDNEY CENTER INC
Active
Other names
Physicians Dialysis Hudson
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO FERNANDEZ (VICE PRESIDENT)
(305) 651-3261
Entity
Organization
Contact information
Practice address
14153 YOSEMITE DR, SUITE 102, HUDSON, FL 34667-8060
(727) 862-0603
(727) 862-4939
Mailing address
19559 N E 10 AVENUE, N MIAMI BEACH, FL 33179-3501
(305) 651-3261
(305) 651-2961
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
—
209147001
—
FL
Enumeration date
07/05/2006
Last updated
05/03/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up