NPIMap

Organization Active NPI

Kidney Group of Florida LLC

  • Nephrology Physician
  • Dunedin, FL
National Provider Identifier
1093128746
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME93564 Issued in FL
Legal business name
KIDNEY GROUP OF FLORIDA LLC
Practice address
2196 Main St Ste H
Dunedin, FL 34698-5694
Phone
(727) 734-2485
Fax
(888) 972-3760
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dana Alan Campbell, M.D.
Title
Owner
Phone
(727) 734-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME93564 FL Primary

Addresses

Primary practice location

2196 Main St Ste H
Dunedin, FL 34698-5694

Mailing address

1245 Court Street
Suite 102
Clearwater, FL 33756
Phone (727) 734-2485

National Provider Directory

National Provider Directory

Locations

1245 Court St
Ste 102
Clearwater, FL 33756

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1093128746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 COURT STREET",
            "address_2": "SUITE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-734-2485",
            "fax_number": "888-972-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 MAIN ST STE H",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985694",
            "telephone_number": "727-734-2485",
            "fax_number": "888-972-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY GROUP OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-734-2485",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME93564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.