Organization
FLORIDA KIDNEY & HYPERTENSION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMA THAMBUGANIPALLE M.D. (PRESIDENT)
(904) 451-1005
Entity
Organization
Contact information
Practice address
2140 KINGSLEY AVE, SUITE 10, ORANGE PARK, FL 32073-5129
(904) 529-5252
(904) 529-5253
Mailing address
2140 KINGSLEY AVE, SUITE 10, ORANGE PARK, FL 32073-5180
(904) 529-5252
(904) 529-5253
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME93749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54259
BCBS
FL
Enumeration date
04/16/2008
Last updated
06/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us